Individual provider Active NPI

Christara Solomon

  • Clinical Social Worker
  • Beaufort, SC
National Provider Identifier
1215716907
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW009802 Issued in GA
Practice address
1050 Ribaut Rd
Beaufort, SC 29902-5400
Phone
(843) 524-8899
NPI assigned
Sep 22, 2023
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW009802 GA Primary

Addresses

Primary practice location

1050 Ribaut Rd
Beaufort, SC 29902-5400

Mailing address

1050 Ribaut Rd
Beaufort, SC 29902-5400
Phone (843) 524-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251121002960 GA Practitioner - Clinical Social Worker 7810489374 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Behavioral Health, P.C.Group PAC ID 6204016611, 11 clinicians

Practice addresses (Care Compare)

508 N Main St
Suite a
Hinesville, GA 31313-2512
Phone (912) 785-2100

508 N Main St
Suite a
Hinesville, GA 31313-2570
Phone (912) 785-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW009802GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC CurrentSince Nov 21, 2025 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Nov 21, 2025 Accepting new patients
Horizon Behavioral Health PC Current Accepting new patients
Horizon Behavioral Health, P.C. CurrentSince Nov 11, 2025 Accepting new patients

Locations

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

508 N Main St
Ste A
Hinesville, GA 31313
Phone (912) 785-2100

595 Towne Park Dr W
Rincon, GA 31326
Phone (912) 785-2100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1215716907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025400",
            "telephone_number": "843-524-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025400",
            "telephone_number": "843-524-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "CHRISTARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW009802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.