NPIMap

Organization Active NPI

Charleston Pulmonary Associates PA

  • Pulmonary Disease Physician
  • Charleston, SC
National Provider Identifier
1053360198
Registry record updated Aug 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
CHARLESTON PULMONARY ASSOCIATES PA
Practice address
125 Doughty St
Suite 200
Charleston, SC 29403-5736
Phone
(843) 577-6791
Fax
(843) 577-0553
NPI assigned
May 8, 2006
Last updated
Aug 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2017

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

Authorized official

Name
William T. Dawson Jr., M.D.NPI 1548210982
Title
President
Phone
(843) 577-6791

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RS0012X

Addresses

Primary practice location

125 Doughty St
Suite 200
Charleston, SC 29403-5736

Mailing address

125 Doughty St
Suite 200
Charleston, SC 29403-5736
Phone (843) 577-6791

Other identifiers 3

IdentifierTypeStateIssuer
CL4954OtherSCRAILROAD MEDICARE
155131300OtherSCOWCP-WC PROVIDER #
PA5351MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040330000711 SC Part B Supplier - Clinic/Group Practice 1759373079 Receives reassigned benefits from 12 practitioners
Practice locations: Summerville, SC; Varnville, SC; Mt Pleasant, SC; Mount Pleasant, SC; Fairfax, SC; Charleston, SC

National Provider Directory

National Provider Directory

Locations

125 Doughty St
Ste 200
Charleston, SC 29403
Phone (843) 577-6791

1300 Hospital Dr
Ste 180
Mt Pleasant, SC 29464
Phone (843) 388-8388

1300 Hospital Dr
Ste 320
Mt Pleasant, SC 29464
Phone (843) 577-6791

897 Von Kolnitz Rd
Ste 104
Mt Pleasant, SC 29464
Phone (843) 577-6791

1229 Nexton Pkwy
Ste B
Summerville, SC 29486
Phone 8435776791104

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502668800000",
    "number": "1053360198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 DOUGHTY ST",
            "address_2": "SUITE 200",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035736",
            "telephone_number": "843-577-6791",
            "fax_number": "843-577-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 DOUGHTY ST",
            "address_2": "SUITE 200",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035736",
            "telephone_number": "843-577-6791",
            "fax_number": "843-577-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON PULMONARY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2017-08-14",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-577-6791",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL4954",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP-WC PROVIDER #",
            "identifier": "155131300",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA5351",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.