This document summarizes the experience of the Center for Pediatric Medicine in Greenville, South Carolina in achieving recognition as a Patient-Centered Medical Home. It provides details on the practice, including its size, patient population, and services. It then discusses the practice's reasons for pursuing recognition, how it approached the process, and challenges encountered addressing each standard, such as developing electronic access and defining care management processes. The document concludes with lessons learned, such as using templates to ease workflow changes and continuously measuring performance.