Individual provider Active NPI

Sharvette Slaughter, MD

  • Pediatrics Physician
  • Charleston, SC
National Provider Identifier
1033210505
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
20240 Issued in SC
Practice address
3973 Rivers Ave
Charleston, SC 29405-7058
Phone
(843) 747-8893
Fax
(843) 747-8895
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 20240 SC Primary

Addresses

Primary practice location

3973 Rivers Ave
Charleston, SC 29405-7058

Mailing address

51 Nassau Street
Charleston, SC 29403
Phone (843) 722-4112

Other identifiers 1

IdentifierTypeStateIssuer
202408MedicaidSC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160801001606 SC Practitioner - Pediatric Medicine 3173816915 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20240SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Fetter Health Care Network, Inc. CurrentSince Oct 15, 2022 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince May 25, 2016 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Jan 30, 2019 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Oct 15, 2022 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Jan 30, 2019 Accepting new patients
Franklin C Fetter Family Health Center, Inc Past Accepting new patients

Locations

51 Nassau St
Charleston, SC 29403

35 Walnut St
Charleston, SC 29403
Phone (843) 723-9477

700 Rutledge Ave
Charleston, SC 29403
Phone (843) 723-9582

403 Stony Landing Rd
Moncks Corner, SC 29461
Phone (843) 761-8282

106 W Main St
Moncks Corner, SC 29461
Phone (843) 761-1995

2047 Comstock Ave
North Charleston, SC 29405
Phone (843) 709-5989

6401 Dorchester Rd
North Charleston, SC 29418
Phone (843) 207-3019

679 Orangeburg Rd
Unit F
Summerville, SC 29483
Phone (843) 261-2600

130 Varnfield Dr
Ste 100
Summerville, SC 29483
Phone (843) 821-3444

302 Medical Park Dr
Ste 111
Walterboro, SC 29488
Phone (843) 549-6853

302 Medical Park Dr
Walterboro, SC 29488
Phone (843) 549-6853

Interoperability endpoints

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mughelli-Oyibokja Wellness Center for WomenCharleston, SC, CCN 421101 Federally qualified health center 5% Or Greater Indirect Ownership Interest
W-2 Managing Employee
Nov 23, 2023
Nov 23, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1033210505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 NASSAU STREET",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29403",
            "telephone_number": "843-722-4112",
            "fax_number": "843-722-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3973 RIVERS AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294057058",
            "telephone_number": "843-747-8893",
            "fax_number": "843-747-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAUGHTER",
        "first_name": "SHARVETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "20240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202408",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.