NPIMap

Organization Active NPI

Ad of South Carolina LLC

  • Anesthesiology Physician
  • Charleston, SC
National Provider Identifier
1205518792
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
AD OF SOUTH CAROLINA LLC
Practice address
215 E Bay St Ste 201K
Charleston, SC 29401-2635
Phone
(888) 851-4642
NPI assigned
Aug 3, 2023
Last updated
Sep 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Authorized official

Name
Laura Adkins
Title
Exec. VP of Operations
Phone
(828) 424-0869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

215 E Bay St Ste 201K
Charleston, SC 29401-2635

Mailing address

PO Box 95000 - 8642
Philadelphia, PA 19195-0001
Phone (888) 851-4642

Other practice location 1

302 University Pkwy
Aiken, SC 29801-6302
Phone (888) 851-4642

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230901002506 SC Part B Supplier - Clinic/Group Practice 6901269224 Receives reassigned benefits from 48 practitioners
Practice locations: Aiken, SC; Summerville, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 49

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 49

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1205518792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000 - 8642",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191950001",
            "telephone_number": "888-851-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E BAY ST STE 201K",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294012635",
            "telephone_number": "888-851-4642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 University Pkwy",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298016302",
            "country_code": "US",
            "telephone_number": "888-851-4642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AD OF SOUTH CAROLINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "EXEC. VP OF OPERATIONS",
        "authorized_official_telephone_number": "828-424-0869"
    },
    "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 Sep 14, 2023; 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.