Individual provider Active NPI

Robert Terrence Sullivan, MD

  • Orthopaedic Surgery Physician
  • Moncks Corner, SC
National Provider Identifier
1124198734
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
52239 Issued in SC
Practice address
300 Callen Blvd Ste 330
Moncks Corner, SC 29461-8460
Phone
(843) 763-2857
Fax
(843) 606-8053
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 52239 SC Primary

Addresses

Primary practice location

300 Callen Blvd Ste 330
Moncks Corner, SC 29461-8460

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043

Other identifiers 1

IdentifierTypeStateIssuer
NC3045MedicaidSC

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
I20180626000794 SC Practitioner - Orthopedic Surgery 4880726298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical University of South Carolina College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roper Saint Francis Physicians NetworkGroup PAC ID 5193874824, 530 clinicians

Practice addresses (Care Compare)

8901 University Blvd
N Charleston, SC 29406-9116
Phone (843) 789-1850

Hospital & facility affiliations

  • Interim Healthcare Home health agency, North Charleston, SC, CCN 427132
  • Roper-St. Francis Home Health Home health agency, Charleston, SC, CCN 427042
  • Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110
  • Roper Hospital Hospital, Charleston, SC, CCN 420087
  • Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52239SCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network Orthopaedic Surgery CurrentSince Jul 23, 2018 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Jul 23, 2018 Accepting new patients
Roper St. Francis Specialty Physicians Orthopaedic Surgery CurrentSince Feb 1, 2026 Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients

Locations

319 Folly Rd
Charleston, SC 29412
Phone (843) 203-2246

1611 Savannah Hwy
Ste A
Charleston, SC 29407
Phone (843) 766-1632

255 E Bay St
Charleston, SC 29401

615 Wesley Dr
Ste 100
Charleston, SC 29407
Phone (843) 763-2857

2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555

2270 Ashley Crossing Dr
Ste 110
Charleston, SC 29414
Phone (843) 769-2000

4278 Ladson Rd
Ladson, SC 29456
Phone (843) 203-2240

8536 Palmetto Commerce Pkwy
Ste 401
Ladson, SC 29456
Phone (843) 203-2260

594 Lone Tree Dr
Bldg 6
Mt Pleasant, SC 29464
Phone (843) 606-8210

3510 N Highway 17
Ste 220
Mt Pleasant, SC 29466
Phone (843) 720-8317

8901 University Blvd
North Charleston, SC 29406
Phone (843) 203-2245

8950 University Blvd
Ste 200
North Charleston, SC 29406
Phone (843) 766-6494

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

300 Callen Blvd
Ste 330
Summerville, SC 29486
Phone (843) 577-7550

Interoperability endpoints

  • Direct secure messaging: rsullivan1236345@direct.bsmhealth.org

Organizations & group practices 5

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 5

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1124198734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "888-472-0043",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CALLEN BLVD STE 330",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294618460",
            "telephone_number": "843-763-2857",
            "fax_number": "843-606-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ROBERT",
        "middle_name": "TERRENCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "52239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC3045",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moncks Corner, SC

Sources for this page

Verify at the official NPI Registry.