Organization Active NPI

Charleston Internal Medicine, LLC

  • Primary Care Clinic/Center
  • Charleston, SC
National Provider Identifier
1235108721
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
22489 Issued in SC
Legal business name
CHARLESTON INTERNAL MEDICINE, LLC
Practice address
537 Folly Rd
Charleston, SC 29412-3007
Phone
(843) 406-4948
Fax
(843) 406-4940
NPI assigned
Mar 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Shanon Welch Honney, M.D.
Title
Member
Phone
(843) 406-4948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 22489 SC Primary

Addresses

Primary practice location

537 Folly Rd
Charleston, SC 29412-3007

Mailing address

537 Folly Rd
Charleston, SC 29412-3007
Phone (843) 406-4948

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235108721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 FOLLY RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123007",
            "telephone_number": "843-406-4948",
            "fax_number": "843-406-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 FOLLY RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123007",
            "telephone_number": "843-406-4948",
            "fax_number": "843-406-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HONNEY",
        "authorized_official_first_name": "SHANON",
        "authorized_official_middle_name": "WELCH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "843-406-4948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "22489",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.