NPIMap

Organization Active NPI

Carolina Family Care, Inc

Doing business as MUSC Physicians PCP

  • Family Medicine Physician
  • Charleston, SC
National Provider Identifier
1184655722
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CAROLINA FAMILY CARE, INC
Doing business as
MUSC Physicians PCP
Practice address
2060 Sam Rittenberg Blvd
Charleston, SC 29407-4616
Phone
(843) 876-3151
NPI assigned
Jul 5, 2006
Last updated
Jan 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Authorized official

Name
Karyn Rae
Title
Manager
Phone
(843) 876-1344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2060 Sam Rittenberg Blvd
Charleston, SC 29407-4616

Mailing address

PO Box 602108
Charlotte, NC 28260-2108
Phone (843) 792-6200

Other names 1

  • MUSC Physicians PCP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040203000627 SC Part B Supplier - Clinic/Group Practice 4587557731 Receives reassigned benefits from 540 practitioners
15 other NPIs on this enrollment
Practice locations: Mount Pleasant, SC; Mt Pleasant, SC; Summerville, SC; Charleston, SC; Daniel Island, SC; Johns Island, SC; Moncks Corner, SC; Florence, SC

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

National Provider Directory

National Provider Directory

Locations (25 of 31)

1243 Savannah Hwy
Ste B
Charleston, SC 29407
Phone (843) 556-8110

2051 Charlie Hall Blvd
Ste 101103
Charleston, SC 29414
Phone (843) 573-2535

2060 Sam Rittenberg Blvd
Ste SK1025
Charleston, SC 29407

2075 Charlie Hall Blvd
#B
Charleston, SC 29414
Phone (843) 876-3157

30 Bee St
#2100
Charleston, SC 29403
Phone (843) 792-6500

1 Medical Park Dr
Bldg 4
Chester, SC 29706
Phone (803) 581-2001

864 Island Park Dr
Ste 101
Daniel Island, SC 29492
Phone (843) 792-4500

1594 Freedom Blvd
Ste 102C
Florence, SC 29505
Phone (843) 679-4221

1594 Freedom Blvd
Ste C102
Florence, SC 29505
Phone (843) 673-7560

1594 Freedom Blvd
Ste C202
Florence, SC 29505
Phone (843) 664-9696

1594 Freedom Blvd
Ste C203
Florence, SC 29505
Phone (843) 674-1670

1594 Freedom Blvd
Ste C305
Florence, SC 29505
Phone (843) 669-0927

805 Pamplico Hwy
Ste A315
Florence, SC 29505
Phone (843) 674-6460

805 Pamplico Hwy
Ste B230
Florence, SC 29505
Phone (843) 674-2955

308 Chester Ave
Great Falls, SC 29055
Phone (803) 482-2129

3351 Maybank Hwy
Johns Island, SC 29455
Phone (843) 985-6292

1205 N Main St
Ste 100
Lancaster, SC 29720
Phone (803) 285-3700

201 W Meeting St
Lancaster, SC 29720
Phone (803) 286-4446

838 W Meeting St
Ste F
Lancaster, SC 29720
Phone (803) 285-4400

5000 Epson Plantation Dr
Ste B
Moncks Corner, SC 29461
Phone (843) 754-4801

1113 Park West Blvd
Mt Pleasant, SC 29466
Phone (843) 876-1445

1200 Innovation Way
Ste 101B
Mt Pleasant, SC 29466
Phone (843) 876-1445

1200 Innovation Way
Ste 201
Mt Pleasant, SC 29466
Phone (843) 876-1454

1300 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 881-1671

270 W Coleman Blvd
Ste 100
Mt Pleasant, SC 29464
Phone (843) 876-1193

Practitioners & affiliated clinicians

Practitioners 568

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 568

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1184655722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602108",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 SAM RITTENBERG BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074616",
            "telephone_number": "843-876-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FAMILY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "RAE",
        "authorized_official_first_name": "KARYN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "843-876-1344"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MUSC Physicians PCP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MUSC Physicians PCP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.