Carolina Gastroenterology & Nutrition Clinics, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

8659 Issued in SC

Legal business name

CAROLINA GASTROENTEROLOGY & NUTRITION CLINICS, LLC

Practice address

102 Wappoo Creek Dr Ste 10C
Charleston, SC 29412

Phone

(843) 762-9321

Fax

(843) 377-1580

NPI assigned

Feb 12, 2008

Last updated

Aug 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Allen Bickerstaff Jr., M.D.NPI 1972584712

Title

Physician

Phone

(843) 762-9321

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Charles A Bickerstaff Jr., MD

  • Gastroenterology Physician
  • Charleston, SC
  • NPI 1972584712
  NPD Authorized official
• Barbara Ellen Magera, MD, PHARM. D

  • Hospitalist Physician
  • West Columbia, SC
  • NPI 1891776621

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1063680197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WAPPOO CREEK DR STE 10C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122144",
            "telephone_number": "843-762-9321",
            "fax_number": "843-377-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WAPPOO CREEK DR STE 10C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29412",
            "telephone_number": "843-762-9321",
            "fax_number": "843-377-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA GASTROENTEROLOGY & NUTRITION CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "BICKERSTAFF",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "843-762-9321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "8659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Family Care, Inc (MUSC Physicians Primary Care)
• Carolina Family Care, Inc (MUSC Physicians PCP)
• Carolina Family Care, Inc (MUSC Physicians PCP West Ashley)
• Carolina Family Care, Inc (MUSC Physicians PCP)
• Carolina Foot & Ankle Specialists, LLC
• Carolina Hand Therapy Inc
• Carolina Hand Therapy Inc
• Carolina Health Force (Mumford INC)
• Carolina Hearing Services, Inc.
• Carolina Homeless Veterans, Inc (McCleod Manor Residential Care)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.