Active NPI
James C Ballenger, M.D.
- Psychiatry Physician
- Charleston, SC
National Provider Identifier
1104827252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 11650
- Practice address
- 192 E Bay St
Ste 204
Charleston, SC 29401-2171 - Phone
- (843) 937-5950
- Fax
- (843) 937-5951
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 11650 | SC | Primary |
Addresses
Primary practice location
192 E Bay St
Ste 204
Charleston, SC 29401-2171
Mailing address
24 Seagrass LN
Isle of Palms, SC 29451-3853
Phone (843) 886-0907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11650 | SC | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104827252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 SEAGRASS LN",
"city": "ISLE OF PALMS",
"state": "SC",
"postal_code": "294513853",
"telephone_number": "843-886-0907",
"fax_number": "843-886-4093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 E BAY ST",
"address_2": "STE 204",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294012171",
"telephone_number": "843-937-5950",
"fax_number": "843-937-5951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLENGER",
"first_name": "JAMES",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "11650",
"primary": true
}
],
"identifiers": [],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.