Individual provider Active NPI

Sean Donald Eberhard, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1063121044
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
27151 Issued in SC
Practice address
2079 Charlie Hall Blvd
Charleston, SC 29414-5834
Phone
(843) 974-5622
NPI assigned
Nov 18, 2022
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 27151 SC Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 244943 SC

Addresses

Primary practice location

2079 Charlie Hall Blvd
Charleston, SC 29414-5834

Mailing address

3527 Dunmovin Dr
Johns Island, SC 29455-8421
Phone (843) 437-6511

Other identifiers 1

IdentifierTypeStateIssuer
244943OtherRN

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
I20230905003639 SC Practitioner - Nurse Practitioner 1557724788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical University of South Carolina College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
244943SCMDPsychiatric/Mental Health Registered Nurse
27151SCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerway Behavioral Health LLC CurrentSince Jun 17, 2023 Accepting new patients

Locations

2079 Charlie Hall Blvd
Charleston, SC 29414
Phone (843) 554-8488

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1063121044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3527 DUNMOVIN DR",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294558421",
            "telephone_number": "843-437-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2079 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145834",
            "telephone_number": "843-974-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERHARD",
        "first_name": "SEAN",
        "middle_name": "DONALD",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-18",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "27151",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "SC",
            "license": "244943",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "244943",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.