Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Prime Care of the Lower Pee Dee, LLC

Multi-Specialty Clinic/Center in Lake City, SC · enumerated 2016 · authorized official Tyrone Wallace, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1437692407

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Registry record

Entity type Organization (Type 2)

Legal business name Prime Care of the Lower Pee Dee, LLC

Practice address 263 Kelley St Ste 100, Lake City, SC, 29560

Phone (843) 394-8274

Fax (843) 394-1604

Enumeration date Nov 23, 2016

Last updated in NPPES Nov 23, 2016

Taxonomy & classification

261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities · License SC 1873 (SC) Primary

Authorized official

Name Tyrone Wallace

Title Owner

Phone (843) 394-8274

Other identifiers

Identifier	Type	State	Issuer
CH1873	Medicaid	SC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-11-23. Verify at npiregistry.cms.hhs.gov.

Where is Prime Care of the Lower Pee Dee, LLC located?

The practice location on file with NPPES is in Lake City, SC.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-11-23.