Active NPI
Olumide Michael Mughelli, MD
- Specialist
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 14683
- Practice address
- 1843 Ashley River Rd
Charleston, SC 29407-4740 - Phone
- (843) 769-4424
- Fax
- (843) 769-4425
- NPI assigned
- May 27, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 14683 | SC | Primary |
Addresses
Primary practice location
1843 Ashley River Rd
Charleston, SC 29407-4740
Mailing address
1843 Ashley River Rd
Charleston, SC 29407-4740
Phone (843) 769-4424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146835 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Tufts University School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fetter Health Care Network Inc
Practice addresses (Care Compare)
51 Nassau St
Charleston, SC 29403-5513
Phone (843) 722-4112
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fetter Health Care Network, Inc. | Current | Accepting new patients | |
| Fetter Health Care Network, Inc | Current | Accepting new patients | |
| Fetter Health Care Network Inc | Current | Accepting new patients | |
| Fetter Health Care Network, Inc. | Current | Accepting new patients | |
| Fetter Health Care Network, Inc. | Current | Accepting new patients | |
| Fetter Health Care Network, Inc. | Current | Accepting new patients | |
| Fetter Health Care Network, Inc. | Current | Accepting new patients | |
| Fetter Health Care Network, Inc. | Current | Accepting new patients | |
| Trident Medical Center, LLC | Past | Accepting new patients |
Locations
1843 Ashley River Rd
Charleston, SC 29407
Phone (843) 769-4424
35 Walnut St
Charleston, SC 29403
Phone (843) 723-9477
51 Nassau St
Charleston, SC 29403
106 W Main St
Moncks Corner, SC 29461
Phone (843) 761-1995
130 Varnfield Dr
Ste 100
Summerville, SC 29483
Phone (843) 821-3444
679 Orangeburg Rd
Unit F
Summerville, SC 29483
Phone (843) 261-2600
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Fetter Health Care Network-Downtown Site
- Federally Qualified Health Center (FQHC)
- Charleston, SC
- NPI 1003827304
-
dba Dorchester Family Health Center
- Federally Qualified Health Center (FQHC)
- Summerville, SC
- NPI 1457007841
-
dba TJ Bell Family Health Center
- Federally Qualified Health Center (FQHC)
- Summerville, SC
- NPI 1518454818
-
dba R.D. Gibbs Family Health Center
- Federally Qualified Health Center (FQHC)
- Moncks Corner, SC
- NPI 1659872059
-
dba Mughelli - Oyibokja Wellness Center for Women
- Federally Qualified Health Center (FQHC)
- Charleston, SC
- NPI 1699554105
-
dba One 80 Place
- Federally Qualified Health Center (FQHC)
- Charleston, SC
- NPI 1982124301
-
dba Fetter Health Care Network-ElijahWright Site
- Federally Qualified Health Center (FQHC)
- Cross, SC
- NPI 1396859823
-
dba Thaddeus J. Bell, MD Vision Center
- Federally Qualified Health Center (FQHC)
- Summerville, SC
- NPI 1174378707
-
dba HCA Healthcare Trident Hospital
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1154378214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1843 ASHLEY RIVER RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074740",
"telephone_number": "843-769-4424",
"fax_number": "843-769-4425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1843 ASHLEY RIVER RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074740",
"telephone_number": "843-769-4424",
"fax_number": "843-769-4425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUGHELLI",
"first_name": "OLUMIDE",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "14683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146835",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.