NPIMap

Individual provider Active NPI

Osemwegie Emmanuel Emovon, M.D.

  • Nephrology Physician
  • Charleston, SC
National Provider Identifier
1285684548
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
22793 Issued in SC
Practice address
1007 Physicians Dr
Charleston, SC 29414-5746
Phone
(843) 573-0499
Fax
(843) 573-2463
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 22793 SC Primary

Addresses

Primary practice location

1007 Physicians Dr
Charleston, SC 29414-5746

Mailing address

PO Box 81113
Ashley River Station
Charleston, SC 29416-1113
Phone (843) 573-0499

Other practice location 1

730 Stony Landing Rd
Moncks Corner, SC 29461-2904
Phone (843) 573-0499

Other practice location 2

904 N Jefferies Blvd
Walterboro, SC 29488-2726
Phone (843) 573-0499

Other practice location 3

1112 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-3131
Phone (843) 573-0499

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040317001104 SC Practitioner - Nephrology 7315837994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1007 Physicians Dr
Charleston, SC 29414-5746
Phone (843) 573-0499

730 Stony Landing Rd
Suite 200
Moncks Corner, SC 29461-2904
Phone (843) 573-0499

904 N Jefferies Blvd
Walterboro, SC 29488-2726
Phone (843) 573-0499

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17902ALMDPharmacist
22793SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Kidney & Hypertension Center, LLC Nephrology CurrentSince May 1, 2004 Accepting new patients
Palmetto Kidney and Hypertension LLC Nephrology PastSince Sep 1, 2005 Accepting new patients
University of South Alabama Health Services Foundation Past Accepting new patients
Southeast Cardiology PastSince May 1, 1998 Accepting new patients

Locations

1007 Physicians Dr
Charleston, SC 29414
Phone (843) 573-0858

1812 Wallace School Rd
Ste 300
Charleston, SC 29407
Phone (843) 766-2011

730 Stony Landing Rd
Ste 200
Moncks Corner, SC 29461
Phone (843) 285-2500

1112 Johnnie Dodds Blvd
Mt Pleasant, SC 29464
Phone (843) 981-5008

904 N Jefferies Blvd
Walterboro, SC 29488
Phone (843) 782-4113

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJBAED/Endpoint/CJBAED

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1285684548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81113",
            "address_2": "ASHLEY RIVER STATION",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294161113",
            "telephone_number": "843-573-0499",
            "fax_number": "843-573-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 PHYSICIANS DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145746",
            "telephone_number": "843-573-0499",
            "fax_number": "843-573-2463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Stony Landing Rd",
            "address_purpose": "LOCATION",
            "city": "Moncks Corner",
            "state": "SC",
            "postal_code": "294612904",
            "country_code": "US",
            "telephone_number": "843-573-0499",
            "fax_number": "843-573-2463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "904 N Jefferies Blvd",
            "address_purpose": "LOCATION",
            "city": "Walterboro",
            "state": "SC",
            "postal_code": "294882726",
            "country_code": "US",
            "telephone_number": "843-573-0499",
            "fax_number": "843-573-2463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1112 Johnnie Dodds Blvd",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294643131",
            "country_code": "US",
            "telephone_number": "843-573-0499",
            "fax_number": "843-573-2463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMOVON",
        "first_name": "OSEMWEGIE",
        "middle_name": "EMMANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "22793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.