NPIMap

Individual provider Active NPI

Eveline Adams Waring, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • North Charleston, SC
National Provider Identifier
1295973873
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
20879 Issued in SC
Practice address
2831 Tricom St
North Charleston, SC 29406-9193
Phone
(843) 863-0088
NPI assigned
Feb 4, 2009
Last updated
May 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 20879 SC Primary

Addresses

Primary practice location

2831 Tricom St
North Charleston, SC 29406-9193

Mailing address

2831 Tricom St
North Charleston, SC 29406-9193
Phone (843) 863-0088

Other identifiers 2

IdentifierTypeStateIssuer
208796MedicaidSC
P01417646OtherSCRR MEDICARE PPCP

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
I20090909000549 SC Practitioner - Endocrinology 0547315855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Medical University of South Carolina College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolina Endocrine Associates LLCGroup PAC ID 0941591341, 3 clinicians

Practice addresses (Care Compare)

2881 Tricom St
North Charleston, SC 29406-9823
Phone (843) 863-0088

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20897SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Endocrine Associates LLC Endocrinology, Diabetes & Metabolism CurrentSince May 23, 2016 Accepting new patients
Medsource Medical DME LLC PastSince Jan 24, 2021 Accepting new patients

Locations

2831 Tricom St
Ste A
North Charleston, SC 29406
Phone (843) 863-0088

2881 Tricom St
North Charleston, SC 29406
Phone (843) 763-2320

2881 Tricom St
Ste A
North Charleston, SC 29406
Phone (843) 572-0444

Interoperability endpoints

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

Organizations & group practices 2

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

Hospital & facility affiliations 10

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": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1295973873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 TRICOM ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069193",
            "telephone_number": "843-863-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 TRICOM ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069193",
            "telephone_number": "843-863-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARING",
        "first_name": "EVELINE",
        "middle_name": "ADAMS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-04",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "SC",
            "license": "20879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208796",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE  PPCP",
            "identifier": "P01417646",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.