CCMMA SC LLC – NPI #1245715796
Internal Medicine

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

CCMMA SC LLC is a provider located in SUMTER, SC. NPPES has assigned the NPI number 1245715796 to CCMMA SC LLC on October 01, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 17 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Critical Care Medicine

The NPI profile was last updated on Apr 28, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CCMMA SC LLC below.

NPI Profile for
CCMMA SC LLC

NPI Number
1245715796
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CCMMA SC LLC
Primary location
129 N WASHINGTON ST
SUMTER, SC 29150-4949
Phone: (803) 774-9000 Fax:
17 Other location(s):
5315 E Larkspur Dr
Scottsdale, AZ 85254-4227
Phone: (845) 702-2711
Fax: (888) 220-6560
625 Gore Range Dr
Severance, CO 80550-4869
Phone: (845) 702-2711
Fax: (888) 220-6560
120 Leeuwarden Rd
Darien, CT 06820-3027
Phone: (845) 702-2711
Fax: (888) 220-6560
10 Nadia S Way
Farmington, CT 06032-2860
Phone: (845) 702-2711
Fax: (888) 220-6560
5605 Poola St
Honolulu, HI 96821-1564
Phone: (845) 702-2711
Fax: (888) 220-6560
59-351 Lehiwa Pl
Kamuela, HI 96743-8581
Phone: (845) 702-2711
Fax: (888) 220-6560
27 Henderson St
Arlington, MA 02474-5507
Phone: (845) 702-2711
Fax: (888) 220-6560
120 N Delaware St
Sandusky, MI 48471-1009
Phone: (810) 648-3770
Fax: (888) 220-6560
201 NW R D Mize Rd
Blue Springs, MO 64014-2513
Phone: (816) 228-5900
Fax: (888) 220-6560
386 Acadian Ct
Biloxi, MS 39531-2900
Phone: (845) 702-2711
Fax: (888) 220-6560
350 Boulevard
Passaic, NJ 07055-2840
Phone: (973) 365-4300
425 W 5th St
East Liverpool, OH 43920-2405
Phone: (330) 385-7200
425 W 5th St
East Liverpool, OH 43920-2498
Phone: (330) 385-7200
Fax: (888) 220-6560
600 S Monroe St
Enid, OK 73701-7211
Phone: (580) 233-2300
Fax: (888) 220-6560
1481 Hollis Rdg
Clarksville, TN 37043-1522
Phone: (845) 702-2711
Fax: (888) 220-6560
6565 Fannin St
Houston, TX 77030-2703
Phone: (713) 790-3311
Fax: (888) 220-6560
1015 Priory Pl
Mc Lean, VA 22101-2134
Phone: (845) 702-2711
Fax: (888) 220-6560
Mailing address
PO BOX 631797
CINCINNATI, OH 45263-1797
Phone: (845) 702-2711 Fax: (888) 220-6560
Organization Subpart
No
Authorized Official
COREY SCURLOCK
MEMBER
Phone: (914) 523-2189
Updated
Certification Date
Apr 28, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.