NPIMap

Individual provider Active NPI

Christopher W. Leblanc, D.O.

  • Family Medicine Physician
  • Bluffton, SC
National Provider Identifier
1205875853
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TL985 Issued in SC
Practice address
23 Plantation Park Dr
Ste 401B
Bluffton, SC 29910-6094
Phone
(843) 815-5566
NPI assigned
Jun 6, 2006
Last updated
Jul 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TL985 SC Primary

Addresses

Primary practice location

23 Plantation Park Dr
Ste 401B
Bluffton, SC 29910-6094

Mailing address

23 Plantation Park Dr
Ste 401B
Bluffton, SC 29910-6094
Phone (843) 422-4413

Other identifiers 3

IdentifierTypeStateIssuer
P01163665OtherSCRAILROAD MEDICARE
GP6817OtherSCMEDICAID GROUP LEGACY
E499OtherSCGROUP MEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060803000395 SC Practitioner - Family Practice 1557374824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

23 Plantation Park Dr
Suite 401
Bluffton, SC 29910-6094
Phone (803) 460-5699

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions22
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Personalized Healthcare, LLC Family Medicine CurrentSince Nov 17, 2016 Accepting new patients
Clarendon Memorial Hospital PastSince Jul 22, 2012 Accepting new patients
Hardeeville Medical Group, LLC Past Accepting new patients
Carolina Eyecare Physicians LLC PastSince Jan 17, 2022 Accepting new patients
Black River Healthcare, Inc. Family Medicine Past Accepting new patients

Locations

23 Plantation Park Dr
Ste 401
Bluffton, SC 29910
Phone (843) 757-9661

Interoperability endpoints

  • Direct secure messaging: christopher.leblanc@2975.securemail.mdnavigatorclinical.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HAGEDD/Endpoint/HAGEDD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1205875853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 PLANTATION PARK DR",
            "address_2": "STE 401B",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106094",
            "telephone_number": "843-422-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 PLANTATION PARK DR",
            "address_2": "STE 401B",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106094",
            "telephone_number": "843-815-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "CHRISTOPHER",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "TL985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01163665",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP LEGACY",
            "identifier": "GP6817",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "E499",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.