Active NPI
Charles G. Shissias, M.D.
- Neurology Physician
- Beaufort, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 21645
- Practice address
- 300 Midtown Dr
Beaufort, SC 29906-5200 - Phone
- (843) 770-0404
- Fax
- (803) 522-3515
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD11448R | LA | |
| Neurology Physician | 2084N0400X | 21645 | SC | Primary |
| Psychiatry Physician | 2084P0800X | 21645 | SC |
Addresses
Primary practice location
300 Midtown Dr
Beaufort, SC 29906-5200
Mailing address
300 Midtown Dr
Beaufort, SC 29906-5200
Phone (843) 770-0404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 216457 | Medicaid | SC |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071127000603 | SC | Practitioner - Neurology | 6608965710 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Medical University of South Carolina College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- River Region Psychiatry Associates, LLCCoastal Inpatient Physicians LLC
Practice addresses (Care Compare)
2680 Elms Plantation Blvd
Suite 101
North Charleston, SC 29406-7101
Phone (843) 203-1531
501 Robertson Blvd
Walterboro, SC 29488-2787
Phone (873) 782-2767
Hospital & facility affiliations
- Trident Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD11448R | LA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| Coastal Inpatient Physicians, LLC | Neurology | Current | Accepting new patients |
| River Region Psychiatry Associates LLC | Psychiatry | Current | Accepting new patients |
| McLeod Regional Medical Center of the Pee Dee, Inc | Neurology | Current | Accepting new patients |
| South Carolina Neurological Clinic PA | Neurology | Past | Accepting new patients |
| Walterboro Community Hospital, Inc. | Past | Accepting new patients | |
| Trident Medical Center, LLC | Past | Accepting new patients | |
| Trident Medical Center, LLC | Past | Accepting new patients | |
| Walterboro Community Hospital, Inc. | Past | Accepting new patients |
Locations
233 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 207-3188
1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
5050 Highway 17 Byp S
Myrtle Beach, SC 29588
Phone (843) 449-6521
9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366
2680 Elms Plantation Blvd
Ste 101
North Charleston, SC 29406
Phone (843) 553-7122
501 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-2000
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- cshissias22876@directmcleodehealth.org
- charles.shissias@hca5.eclinicaldirectplus.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Charleston, SC
- NPI 1215043872
Neurology, SC
-
- Psychiatry Physician
- Montgomery, AL
- NPI 1386891497
Psychiatry, SC
-
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
Neurology, SC
-
- Community/Retail Pharmacy
- Florence, SC
- NPI 1871775841
-
- Psychiatric Hospital Unit
- Charleston, SC
- NPI 1124443478
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
-
- General Acute Care Hospital
- Walterboro, SC
- NPI 1376597997
-
- Psychiatric Hospital Unit
- Walterboro, SC
- NPI 1376829952
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1124039334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 MIDTOWN DR",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299065200",
"telephone_number": "843-770-0404",
"fax_number": "803-522-3515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MIDTOWN DR",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299065200",
"telephone_number": "843-770-0404",
"fax_number": "803-522-3515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHISSIAS",
"first_name": "CHARLES",
"middle_name": "G.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "LA",
"license": "MD11448R",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "SC",
"license": "21645",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "21645",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "216457",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.