Individual provider Active NPI

Kara Blevens Huncik, M.D.

  • Pediatrics Physician
  • Charleston, SC
National Provider Identifier
1174598221
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25977 Issued in SC
Practice address
2051 Charlie Hall Blvd
Charleston, SC 29414
Phone
(843) 573-2535
Fax
(843) 573-2534
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25977 SC Primary

Addresses

Primary practice location

2051 Charlie Hall Blvd
Charleston, SC 29414

Mailing address

2051 Charlie Hall Blvd.
Charleston, SC 29414
Phone (843) 573-2535

Other identifiers 1

IdentifierTypeStateIssuer
259776MedicaidSC

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
I20050719000154 SC Practitioner - Pediatric Medicine 3678500055 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Pediatric Associates, P.a. Pediatrics CurrentSince Apr 1, 2021 Accepting new patients
Hospice Care of South Carolina, LLC CurrentSince Jun 9, 2021 Accepting new patients

Locations

2067 Charlie Hall Blvd
Charleston, SC 29414
Phone 8435732535 ext. 3215

2051 Charlie Hall Blvd
Charleston, SC 29414
Phone (843) 573-2535

136 Stonemark Ln
Ste 100C
Columbia, SC 29210
Phone (888) 701-4661

4975 Lacross Rd
Ste 158
North Charleston, SC 29406

187 N Church St
Ste 201
Spartanburg, SC 29306
Phone (864) 630-8469

2015 2nd Ave
Ste 101
Summerville, SC 29486
Phone (843) 573-2535

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hands of HopeColumbia, SC, CCN 421639 Hospice Contracted Managing Employee Apr 19, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1174598221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 CHARLIE HALL BLVD.",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29414",
            "telephone_number": "843-573-2535",
            "fax_number": "843-573-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29414",
            "telephone_number": "843-573-2535",
            "fax_number": "843-573-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNCIK",
        "first_name": "KARA",
        "middle_name": "BLEVENS",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "25977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259776",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.