NPIMap

Individual provider Active NPI

Charles M Frost, DO

  • Internal Medicine Physician
  • Conway, SC
National Provider Identifier
1144616384
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
37694 Issued in SC
Practice address
2701 Church St
Ste a
Conway, SC 29526-4422
Phone
(843) 365-0295
Fax
(843) 365-0354
NPI assigned
Apr 14, 2015
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 37694 SC Primary

Addresses

Primary practice location

2701 Church St
Ste a
Conway, SC 29526-4422

Mailing address

300 Singleton Ridge Rd
Attention PNS Credentialing
Conway, SC 29526-9142
Phone (843) 234-6946

Other practice location 1

51 11th Avenue
Aynor, SC 29511-3249
Phone (843) 358-3700

Other practice location 2

1301 Creel St
Conway, SC 29527-5018
Phone (843) 248-4414

Other practice location 3

1213 Elm St
Aynor, SC 29511-3320
Phone (843) 358-5806

Other identifiers 1

IdentifierTypeStateIssuer
376944MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180803002974 SC Practitioner - Internal Medicine 6305194523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conway Hospital IncGroup PAC ID 7113839606, 127 clinicians

Practice addresses (Care Compare)

1301 Creel St
Conway, SC 29527-5018
Phone (843) 248-4414

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.73 of 100Reported as group
Quality
73.04
Promoting interoperability
99
Improvement activities
40
Cost
76.89

Merit-based Incentive Payment System (MIPS)

Final score
52.78 of 100Reported as group
Quality
55.48
Improvement activities
0
Cost
74.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37694SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Hospital Community Services CurrentSince Oct 1, 2023 Accepting new patients
Conway Hospital, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Conway Hospital Community Services CurrentSince Oct 1, 2023 Accepting new patients
Conway Hospital, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Conway Hospital, Inc. Internal Medicine Past Accepting new patients

Locations

51 11th Ave
Aynor, SC 29511
Phone (843) 358-3700

1213 Elm St
Aynor, SC 29511
Phone (843) 358-5806

2701 Church St
Ste A
Conway, SC 29526
Phone (843) 347-8041

1301 Creel St
Conway, SC 29527
Phone (843) 248-4414

2367B Cypress Cir
Conway, SC 29526
Phone (843) 349-1001

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

394 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-8050

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1144616384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "address_2": "ATTENTION PNS CREDENTIALING",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-234-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 CHURCH ST",
            "address_2": "STE A",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264422",
            "telephone_number": "843-365-0295",
            "fax_number": "843-365-0354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 11th Avenue",
            "address_purpose": "LOCATION",
            "city": "Aynor",
            "state": "SC",
            "postal_code": "295113249",
            "country_code": "US",
            "telephone_number": "843-358-3700",
            "fax_number": "843-358-3707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Creel St",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295275018",
            "country_code": "US",
            "telephone_number": "843-248-4414",
            "fax_number": "843-248-3781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1213 Elm St",
            "address_purpose": "LOCATION",
            "city": "Aynor",
            "state": "SC",
            "postal_code": "295113320",
            "country_code": "US",
            "telephone_number": "843-358-5806",
            "fax_number": "843-358-9205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FROST",
        "first_name": "CHARLES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-14",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "37694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376944",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.