Active NPI
Philip Henry Khoury
- Surgery Physician
- Charleston, SC
National Provider Identifier
1053117424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- LL97082
- Practice address
- 122 Bee St
Charleston, SC 29425-8912 - Phone
- (843) 806-6989
- NPI assigned
- Feb 24, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | LL97082 | SC | Primary |
Addresses
Primary practice location
122 Bee St
Charleston, SC 29425-8912
Mailing address
169 Ashley Ave
Charleston, SC 29425-8905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1053117424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 ASHLEY AVE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 BEE ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258912",
"telephone_number": "843-806-6989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOURY",
"first_name": "PHILIP",
"middle_name": "HENRY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-24",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "LL97082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
- Morgan Headden Khawaja, M.D.
- Khouri and Workman Chiropractic and Health Solutions LLC.
- Khouri Chiropractic and Health Solution LLC
- Stephen Abraham Khouri, D.C.
- George Hasham Khoury, MD
- Carrie Kibbey, PHARMD
- Megan Marie Kibbey, DMD, PHD
- Annette Louise Kibler, NNP
- Kimberly Price Kicielinski, M.D.
- Kid Works Occupational Therapy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.