Mark Lewis Chargualaf, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4632 Issued in SC

Practice address

1327 Ashley River Rd
Charleston, SC 29407-5384

Phone

(843) 405-9474

NPI assigned

May 25, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Vascular and Vein Center PAGroup PAC ID 4981660479, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health of Charleston East Home health agency, Charleston, SC, CCN 427027
• Trident Medical Center Hospital, Charleston, SC, CCN 420079
• Colleton Medical Center Hospital, Walterboro, SC, CCN 420030
• Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085
• Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065
• Roper Hospital Hospital, Charleston, SC, CCN 420087

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Vascular & Vein Center, LLC

  • Vascular Surgery Physician
  • Charleston, SC
  • NPI 1023157575
  Medicare reassignment Care Compare group
• Coastal Vascular and Vein Institute LLC

  • Ambulatory Surgical Clinic/Center
  • Summerville, SC
  • NPI 1578259750
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys SC, LLC

  • Home Health Agency
  • Charleston, SC
  • NPI 1447218748
  Care Compare affiliation
• Bon Secours St. Francis Xavier Hospital Inc.

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1851361778
  Care Compare affiliation
• Grand Strand Regional Medical Center LLC

  • General Acute Care Hospital
  • Myrlte Beach, SC
  • NPI 1083668669
  Care Compare affiliation
• Roper Hospital, Inc

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1962472860
  Care Compare affiliation
• Trident Medical Center, LLC

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1366496937
  Care Compare affiliation
• Walterboro Community Hospital, Inc.

  • General Acute Care Hospital
  • Walterboro, SC
  • NPI 1376597997
  Care Compare affiliation

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1275225492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MIDTOWN AVE APT 406",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643875",
            "telephone_number": "865-748-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 ASHLEY RIVER RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075384",
            "telephone_number": "843-405-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARGUALAF",
        "first_name": "MARK",
        "middle_name": "LEWIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Macrae Chapman, LISW-CP
• Milton Charles Chapman, CRNA
• Monica Alexis Chapman
• Uriah Chapman
• Shawn C Charest, MD
• Emily W Chariker
• Laura Marika Charin, BCABA
• Pamela L Charity, MD
• Charla McEachin LLC
• Charles Towne Chiropractic

• Physician Assistant in Charleston, SC
• Providers in Charleston, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.