MEDICARE: PERNELL FAMILY SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043839376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERNELL FAMILY SERVICES LLC

Provider Business Mailing Address
First Line	:	106 W CALHOUN ST
Second Line	:
City	:	DILLON
State	:	SC
Zip	:	29536-4014
Country	:	US
Telephone Number	:	843-627-3121
Fax Number	:	854-600-1563

Provider Business Practice Location Address
First Line	:	106 W CALHOUN ST
Second Line	:
City	:	DILLON
State	:	SC
Zip	:	29536-4014
Country	:	US
Telephone Number	:	843-627-3121
Fax Number	:	854-600-1563

Authorized Official
Title or Position	:	OWNER
Name	:	TERESA PERNELL
Credential	:
Telephone Number	:	843-627-3121

Provider Enumeration Date	:	04/16/2020
Last Update Date	:	10/31/2025

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Directions to “PERNELL FAMILY SERVICES LLC ” Practice Location

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