Children's Medical Assessment Center Dba Carolina Medical Assessment C

Primary specialty

Forensic Pathology PhysicianTaxonomy code 207ZF0201X

Legal business name

CHILDREN'S MEDICAL ASSESSMENT CENTER DBA CAROLINA MEDICAL ASSESSMENT C

Practice address

3870 Leeds Ave
Suite 104
North Charleston, SC 29405-7493

Phone

(843) 529-4533

Fax

(843) 529-4539

NPI assigned

Oct 17, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debora Flowers

Title

Program Director

Phone

(843) 529-4533

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144219742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3870 LEEDS AVE",
            "address_2": "SUITE 104",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057493",
            "telephone_number": "843-529-4533",
            "fax_number": "843-529-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 LEEDS AVE",
            "address_2": "SUITE 104",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057493",
            "telephone_number": "843-529-4533",
            "fax_number": "843-529-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S MEDICAL ASSESSMENT CENTER DBA CAROLINA MEDICAL ASSESSMENT C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "843-529-4533"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1443",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH OF SC",
            "identifier": "20004193",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Cherry
• Carly Jaine Chevrette, BS ADC-IP
• Jennifer Chiaramonti, M.S./ED.S. LPES NCSP
• Children's Dental Clinic of Charleston, LLC (Children's Wellness Clinic)
• Children's Dentistry, PA
• Trey Childress
• Casey Childs, LMT, MLD-C
• Rebecca Chiles
• Christopher Chillura, P.A.
• Chirosense, LLC

• Forensic Pathology Physician in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Forensic Pathology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.