Individual provider Active NPI

Charles Frederick Greer, MD

  • Diagnostic Radiology Physician
  • Sullivans Island, SC
National Provider Identifier
1003825878
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD10345 Issued in SC
Practice address
2808 Atlantic Ave
Sullivans Island, SC 29482-9660
Phone
(843) 729-4525
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X MD10345 SC
Nuclear Radiology Physician 2085N0904X MD10345 SC
Vascular & Interventional Radiology Physician 2085R0204X MD10345 SC
Vascular & Interventional Radiology Physician 2085R0204X 76724 TN
Diagnostic Radiology Physician 2085R0202X MD10345 SC Primary
Pediatric Radiology Physician 2085P0229X MD10345 SC
Body Imaging Physician 2085B0100X MD10345 SC

Addresses

Primary practice location

2808 Atlantic Ave
Sullivans Island, SC 29482-9660

Mailing address

2808 Atlantic Ave
Sullivans Island, SC 29482-9660
Phone (843) 729-4525

Other practice location 1

7211 Wellington Dr Ste 101
Knoxville, TN 37919-5968
Phone (865) 588-8005

Other identifiers 4

IdentifierTypeStateIssuer
103453MedicaidSC
8683OtherSCMEDICARE GROUP
405486923OtherSCBCBS
1709OtherSCMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TN, NC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050504000153 SC Practitioner - Diagnostic Radiology 3274573852 Reassigns benefits to 3 organizations
I20260408001905 TN Practitioner - Diagnostic Radiology 3274573852 Reassigns benefits to 1 organization
I20260625001501 NC Practitioner - Diagnostic Radiology 3274573852

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical University of South Carolina College of Medicine, 1980
Medicare assignment
May accept Medicare assignment
Group practices
Colonial Family Practice LLCGroup PAC ID 9931017118, 58 clinicians
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

325 Broad St
Suite 100
Sumter, SC 29150-4167
Phone (803) 773-5227

327 Broad St
Sumter, SC 29150-4152
Phone (803) 773-5227

7211 Wellington Dr
Suite 101
Knoxville, TN 37919-5968
Phone (865) 558-9822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD10345SCMDVascular & Interventional Radiology Physician
76724TNMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colonial Family Practice, LLC CurrentSince Dec 1, 2025 Accepting new patients
Pelican II, LLC Body Imaging CurrentSince Sep 1, 2007 Accepting new patients
Colonial Family Practice, LLC CurrentSince Dec 1, 2025 Accepting new patients
Charleston Radiologists PA Diagnostic Radiology CurrentSince Jul 20, 1996 Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients
Colonial Family Practice & Ambulatory Care Center Past Accepting new patients

Locations

4700 Forest Dr
Columbia, SC 29206
Phone (803) 256-1511

1013 Professional Ct
Ste A
Manning, SC 29102
Phone (803) 433-7425

1241 Woodland Ave
Mt Pleasant, SC 29464
Phone (843) 881-4020

9217 University Blvd
Ste C1A
North Charleston, SC 29406
Phone (843) 619-7989

325 Broad St
Ste 100
Sumter, SC 29150

674 W Liberty St
Sumter, SC 29150
Phone 80377352276010

327 Broad St
Sumter, SC 29150
Phone (803) 774-2781

325 Broad St
Sumter, SC 29150

385 W Wesmark Blvd
Sumter, SC 29150
Phone 8037735227 ext. 1013

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIHIBD/Endpoint/CIHIBD

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1003825878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 ATLANTIC AVE",
            "city": "SULLIVANS ISLAND",
            "state": "SC",
            "postal_code": "294829660",
            "telephone_number": "843-729-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 ATLANTIC AVE",
            "city": "SULLIVANS ISLAND",
            "state": "SC",
            "postal_code": "294829660",
            "telephone_number": "843-729-4525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7211 Wellington Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379195968",
            "country_code": "US",
            "telephone_number": "865-588-8005",
            "fax_number": "865-588-7716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREER",
        "first_name": "CHARLES",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "SC",
            "license": "MD10345",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "SC",
            "license": "MD10345",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "SC",
            "license": "MD10345",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TN",
            "license": "76724",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "MD10345",
            "primary": true
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "SC",
            "license": "MD10345",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "SC",
            "license": "MD10345",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103453",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "8683",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "405486923",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "1709",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sullivans Island, SC

Sources for this page

Verify at the official NPI Registry.