Active NPI
Salt Marsh Internal Medicine, LLC
- Primary Care Clinic/Center
- Charleston, SC
National Provider Identifier
1235020520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- SALT MARSH INTERNAL MEDICINE, LLC
- Practice address
- 2270 Ashley Crossing Dr Ste 165
Charleston, SC 29414 - Phone
- (843) 936-4455
- Fax
- (843) 268-2670
- NPI assigned
- Jul 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Virginia Channell
- Title
- Business Manager
- Phone
- (843) 936-4455
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
2270 Ashley Crossing Dr Ste 165
Charleston, SC 29414
Mailing address
2270 Ashley Crossing Dr Ste 165
Charleston, SC 29414
Phone (843) 936-4455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2334365 | Salt Marsh Internal Medicine, LLC | Certificate of waiver | Nov 18, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Charleston, SC
- NPI 1386609931
-
- Adult Health Nurse Practitioner
- Charleston, SC
- NPI 1184117889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752451200000",
"number": "1235020520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2270 ASHLEY CROSSING DR STE 165",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29414",
"telephone_number": "843-936-4455",
"fax_number": "843-268-2670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2270 ASHLEY CROSSING DR STE 165",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29414",
"telephone_number": "843-936-4455",
"fax_number": "843-268-2670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALT MARSH INTERNAL MEDICINE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-14",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A",
"authorized_official_last_name": "CHANNELL",
"authorized_official_first_name": "VIRGINIA",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "843-936-4455"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"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 Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.