NPIMap

Organization Active NPI

South Carolina Cancer Specialist, P.a.

  • Hematology & Oncology Physician
  • Bluffton, SC
National Provider Identifier
1114559119
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
SOUTH CAROLINA CANCER SPECIALIST, P.A.
Practice address
100 Buckwalter Place Blvd Ste 130
Bluffton, SC 29910-5154
Phone
(843) 836-7100
Fax
(843) 815-8014
NPI assigned
Feb 7, 2020
Last updated
Feb 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Authorized official

Name
Gary W Thomas, MDNPI 1043218316
Title
President
Phone
(843) 689-2895

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X NU Primary

Addresses

Primary practice location

100 Buckwalter Place Blvd Ste 130
Bluffton, SC 29910-5154

Mailing address

45 Hospital Center CMNS
Hilton Head Island, SC 29926-2837
Phone (843) 689-2895

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040305000281 SC Part B Supplier - Clinic/Group Practice 9032007760 Receives reassigned benefits from 14 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bluffton, SC; Hilton Head Island, SC

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

100 Buckwalter Pkwy
Ste 130
Bluffton, SC 29910

100 Buckwalter Place Blvd
Ste 130
Bluffton, SC 29910
Phone (843) 836-7100

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1114559119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 HOSPITAL CENTER CMNS",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262837",
            "telephone_number": "843-689-2895",
            "fax_number": "843-715-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BUCKWALTER PLACE BLVD STE 130",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299105154",
            "telephone_number": "843-836-7100",
            "fax_number": "843-815-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA CANCER SPECIALIST, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-689-2895",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.