NPIMap

Organization Active NPI

Charleston Gastroenterology Specialists

  • Anesthesiology Physician
  • Charleston, SC
National Provider Identifier
1194231761
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CHARLESTON GASTROENTEROLOGY SPECIALISTS
Practice address
1962 Charlie Hall Blvd
Charleston, SC 29414-5837
Phone
(843) 722-8000
NPI assigned
Dec 19, 2017
Last updated
Dec 19, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
CHARLESTON GASTROENTEROLOGY SPECIALISTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Authorized official

Name
Sherry M Searson
Title
Billing Manager
Phone
(843) 793-5188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

1962 Charlie Hall Blvd
Charleston, SC 29414-5837

Mailing address

1962 Charlie Hall Blvd
Charleston, SC 29414-5837

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031119000237 SC Part B Supplier - Clinic/Group Practice 3173437472 Receives reassigned benefits from 58 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Summerville, SC; Mt Pleasant, SC; Charleston, SC

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Part of
Charleston G I Speciali

Locations

180 Wingo Way
Ste 305
Mt Pleasant, SC 29464
Phone (843) 722-8000

328 Midland Pkwy
Summerville, SC 29485
Phone (843) 722-8000

Practitioners & affiliated clinicians

Practitioners 58

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 58

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1194231761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1962 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1962 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145837",
            "telephone_number": "843-722-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON GASTROENTEROLOGY SPECIALISTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLESTON GASTROENTEROLOGY SPECIALISTS",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "SEARSON",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "843-793-5188"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 19, 2017; 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.