Organization Active NPI

Resource Medical Group of Charleston, LLC

  • Oxygen Equipment & Supplies (DME)
  • Beaufort, SC
National Provider Identifier
1285937078
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
RESOURCE MEDICAL GROUP OF CHARLESTON, LLC
Practice address
1180 Ribaut Rd Ste 2-4
Beaufort, SC 29902-6108
Phone
(843) 757-0906
NPI assigned
Dec 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Greg Crawford
Title
Authorized Official
Phone
(859) 441-8876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

1180 Ribaut Rd Ste 2-4
Beaufort, SC 29902-6108

Mailing address

1180 Ribaut Rd
Suites 4&5
Beaufort, SC 29902-6108
Phone (843) 757-0906

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110503000579 SC DME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Respiratory Therapist 7315140621 Practice locations: Beaufort, SC

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Resource Medical Group of Charlesto1180 Ribaut Rd, Beaufort, SC 29902-6108(843) 379-0612 Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applica… Does not accept assignmentParticipating since Aug 14, 2006

National Provider Directory

National Provider Directory
Tax ID family
Resource Medical Group of Charleston LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1180 Ribaut Rd
Ste 24
Beaufort, SC 29902
Phone (843) 379-0612

1180 Ribaut Rd
#45
Beaufort, SC 29902

1180 Ribaut Rd
Ste 4
Beaufort, SC 29902
Phone (843) 379-0612

1180 Ribaut Rd
Ste 2
Beaufort, SC 29902

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1285937078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 RIBAUT RD",
            "address_2": "SUITES 4&5",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026108",
            "telephone_number": "843-757-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 RIBAUT RD STE 2-4",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026108",
            "telephone_number": "843-757-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOURCE MEDICAL GROUP OF CHARLESTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "859-441-8876"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.

Verify at the official NPI Registry.