Individual provider Active NPI

Charles G. Shissias, M.D.

  • Neurology Physician
  • Beaufort, SC
National Provider Identifier
1124039334
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
21645 Issued in SC
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

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
216457MedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071127000603 SC Practitioner - NeurologyPractitioner - Psychiatry 6608965710 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Psychiatry
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, LLCGroup PAC ID 1254491012, 118 clinicians
Coastal Inpatient Physicians LLCGroup PAC ID 4688671365, 9 clinicians

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 Hospital, Charleston, SC, CCN 420079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD11448RLAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Mar 1, 2020 Accepting new patients
Coastal Inpatient Physicians, LLC Neurology CurrentSince Feb 20, 2012 Accepting new patients
River Region Psychiatry Associates LLC Psychiatry CurrentSince Aug 1, 2025 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Neurology CurrentSince Mar 1, 2020 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

  • Direct secure messaging: cshissias22876@directmcleodehealth.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.