Active NPI
Resource Medical Group of Charleston, LLC
- Oxygen Equipment & Supplies (DME)
- Beaufort, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110503000579 | SC | DME Supplier - Oxygen & Equipment | 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).
-
- Oxygen Equipment & Supplies (DME)
- Myrtle Beach, SC
- NPI 1023331808
7315140621
-
- Oxygen Equipment & Supplies (DME)
- North Charleston, SC
- NPI 1497708945
7315140621
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Resource Medical Group of Charlesto | 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 assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Resource Medical Group of Charleston LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oxygen Equipment & Supplies (DME)
- Myrtle Beach, SC
- NPI 1023331808
-
- Oxygen Equipment & Supplies (DME)
- North Charleston, SC
- NPI 1497708945
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.