Individual provider Active NPI

Christo C Courban, M.D.

  • Emergency Medicine Physician
  • Mullins, SC
National Provider Identifier
1215912548
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
28270 Issued in SC
Practice address
2829 E Highway 76
Mullins, SC 29574-6035
Phone
(843) 431-2000
NPI assigned
Dec 9, 2005
Last updated
Jan 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 28270 SC Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 159466 MA

Addresses

Primary practice location

2829 E Highway 76
Mullins, SC 29574-6035

Mailing address

300 Singleton Ridge Rd
Christo Courban Emergency Medicine
Conway, SC 29526-9142
Phone (843) 347-8015

Other practice location 1

300 Singleton Ridge Rd
Christo Courban Emergency Medicine
Conway, SC 29526-9142
Phone (843) 347-8015

Other identifiers 1

IdentifierTypeStateIssuer
282704MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071011000222 SC Practitioner - Emergency MedicinePractitioner - Internal Medicine 3173619814 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.83
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
159466MAMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Care, Inc CurrentSince Oct 15, 2020 Accepting new patients
Musc Community Physicians CurrentSince Jan 30, 2022 Accepting new patients
Carolina Family Care, Inc Emergency Medicine CurrentSince Oct 15, 2020 Accepting new patients
App of South Carolina Ed PLLC Emergency Medicine CurrentSince Dec 17, 2017 Accepting new patients
Conway Hospital Emergency Professional Services Emergency Medicine CurrentSince Aug 1, 2007 Accepting new patients
Ies South Carolina LLC Emergency Medicine CurrentSince Sep 6, 2023 Accepting new patients
Musc Community Physicians Emergency Medicine Current Accepting new patients
Musc Community Physicians CurrentSince Jan 30, 2022 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Emergency Medicine Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

2829 E Highway 76
Mullins, SC 29574
Phone (843) 431-2000

Interoperability endpoints

  • Direct secure messaging: ccourban260231@direct.musc.edu

Organizations & group practices 9

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 2

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1215912548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "address_2": "CHRISTO COURBAN EMERGENCY MEDICINE",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-347-8015",
            "fax_number": "843-234-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 E HIGHWAY 76",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295746035",
            "telephone_number": "843-431-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Singleton Ridge Rd",
            "address_2": "Christo Courban Emergency Medicine",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295269142",
            "country_code": "US",
            "telephone_number": "843-347-8015",
            "fax_number": "843-234-5017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COURBAN",
        "first_name": "CHRISTO",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "28270",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MA",
            "license": "159466",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282704",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullins, SC

Sources for this page

Verify at the official NPI Registry.