Charles J. Nivens, MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

18439 Issued in SC

Legal business name

CHARLES J. NIVENS, MD PA

Practice address

3 Plantation Park Dr.
Bluffton, SC 29910-4720

Phone

(843) 705-7471

Fax

(843) 705-7475

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Ingrid Kristine Nivens

Title

Office Manager

Phone

(843) 705-7471

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

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

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Joseph Nivens, MD

  • Physical Medicine & Rehabilitation Physician
  • Bluffton, SC
  • NPI 1801898432
  Medicare reassignment Care Compare group NPD
• Paul Michael Linnert, P.A.

  • Physician Assistant
  • Varnville, SC
  • NPI 1518340884
  Medicare reassignment Care Compare group
• Barbara L Sarb, DO

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Bluffton, SC
  • NPI 1285691485
  NPD
• Joseph F Altongy, M.D.

  • Orthopaedic Surgery Physician
  • Summit, NJ
  • NPI 1053367417
  NPD

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1053489443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PLANTATION PARK DR.",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104720",
            "telephone_number": "843-705-7471",
            "fax_number": "843-705-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PLANTATION PARK DR.",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104720",
            "telephone_number": "843-705-7471",
            "fax_number": "843-705-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES J. NIVENS, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "NIVENS",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-705-7471",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "18439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184393",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Lee Chalmers, PT
• Michael P. Champoux, PTA
• Rachel Chaney, LPC-A
• Karoline Chapman
• Charity First Home Care LP
• Chatham Orthopaedic Associates, PA
• Madeline Chatlain, OTR/L
• Candyce Childress
• Kathy Lyn Christman, MD
• Barbara Ann Christy, RN

• Specialist in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.