Individual provider Active NPI

Nicholas Ryan Bart, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1013850742
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.31709 Issued in SC
Practice address
2287 Henry Tecklenburg Dr Ste 2
Charleston, SC 29414-7811
Phone
(843) 974-5622
NPI assigned
Apr 9, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.31709 SC Primary

Addresses

Primary practice location

2287 Henry Tecklenburg Dr Ste 2
Charleston, SC 29414-7811

Mailing address

2287 Henry Tecklenburg Dr Ste 2
Charleston, SC 29414-7811
Phone (843) 974-5622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260529001092 SC Practitioner - Nurse Practitioner 6507336658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerway Behavioral Health LLCGroup PAC ID 4981943818, 4 clinicians

Practice addresses (Care Compare)

2287 Henry Tecklenburg Dr
Suite 2
Charleston, SC 29414-7801
Phone (843) 974-5622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN.31709SCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerway Behavioral Health LLC CurrentSince May 14, 2026 Accepting new patients

Locations

2287 Henry Tecklenburg Dr
Ste 2
Charleston, SC 29414
Phone (843) 974-5622

Organizations & group practices 1

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": "1775692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1013850742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2287 HENRY TECKLENBURG DR STE 2",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294147811",
            "telephone_number": "843-974-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2287 HENRY TECKLENBURG DR STE 2",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294147811",
            "telephone_number": "843-974-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BART",
        "first_name": "NICHOLAS",
        "middle_name": "RYAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "APN.31709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.