Charles G Aldridge
Individual provider Active NPI Certified Registered Nurse Anesthetist · Florence, SC
NPI 1154427680 · NPPES record last updated Mar 18, 2008
Key facts
- NPI
- 1154427680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- APN3457 (SC)
- Practice address
- 1257 Brittany Dr Apt a
Florence, SC 29501-0249 - Phone
- (843) 407-7334
- Fax
- (843) 777-8705
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McLeod Physician Associates II
Practice addresses (Care Compare)
555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-7000
Hospital & facility affiliations
- McLeod Regional Medical Center-Pee Dee
- McLeod Medical Center - Dillon
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080128000034 | SC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7416984679 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 186687 | NC | MD | Certified Registered Nurse Anesthetist |
| APN3457 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Regional Medical Center of the Pee Dee, Inc | Current |
Accepting new patients | |
| McLeod Physician Associates II | Current |
Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| McLeod Physician Associates II | Current |
Accepting new patients |
Locations
800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337
800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 186687 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | APN3457 | SC | Yes |
Addresses
Primary practice location
1257 Brittany Dr Apt a
Florence, SC 29501-0249
Mailing address
1257 Brittany Dr Apt a
Florence, SC 29501-0249
Phone (843) 407-7334
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN1643 | Medicaid | SC |
Other providers in Florence, SC
- Othman Murad Othman Al Barghouthi
- Sawsan Al Haddadin
- Ramzy Al-Hourany
- Rodney K Alan
- Bobby Lee Thomas Aldridge
- Anthony Wayne Alexander
- Carrie Lee Alexander
- Clarence R Alexander Jr.
- Shannon Alexander
- Thelma Williams Alexander
All providers in Florence, SC · Certified Registered Nurse Anesthetist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.