Organization Active NPI

Charleston Midwife Services

  • Clinic/Center
  • Mount Pleasant, SC
National Provider Identifier
1255526141
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
010773861 Issued in SC
Legal business name
CHARLESTON MIDWIFE SERVICES
Practice address
1300 Hospital Dr Ste 270
Mount Pleasant, SC 29464-3244
Phone
(843) 818-1123
Fax
(843) 818-1126
NPI assigned
Sep 13, 2007
Last updated
Mar 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Authorized official

Name
Lesley Rathbun, CNMNPI 1811962392
Title
Owner
Phone
(843) 818-1123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 010773861 SC Primary

Addresses

Primary practice location

1300 Hospital Dr Ste 270
Mount Pleasant, SC 29464-3244

Mailing address

1300 Hospital Dr Ste 270
Mount Pleasant, SC 29464-3244
Phone (843) 818-1123

Other identifiers 1

IdentifierTypeStateIssuer
GP4798MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140930003159 SC Part B Supplier - Clinic/Group Practice 5991925687 Receives reassigned benefits from 1 practitioner
Practice locations: N Charleston, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1255526141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL DR STE 270",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643244",
            "telephone_number": "843-818-1123",
            "fax_number": "843-818-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL DR STE 270",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643244",
            "telephone_number": "843-818-1123",
            "fax_number": "843-818-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON MIDWIFE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "RATHBUN",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-818-1123",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "010773861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4798",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.