Organization Active NPI

Carolina Family Care, Inc

Doing business as MUSC Physicians PCP Ben Sawyer Family Medicine

  • Family Medicine Physician
  • Mount Pleasant, SC
National Provider Identifier
1306252069
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CAROLINA FAMILY CARE, INC
Doing business as
MUSC Physicians PCP Ben Sawyer Family Medicine
Practice address
1440 Ben Sawyer Blvd
Ste 1109-1111
Mt Pleasant, SC 29464-5525
Phone
(843) 792-1414
NPI assigned
Jul 2, 2014
Last updated
Jan 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Authorized official

Name
Karyn Rae
Title
Director
Phone
(843) 876-1344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1440 Ben Sawyer Blvd
Ste 1109-1111
Mt Pleasant, SC 29464-5525

Mailing address

PO Box 602108
Charlotte, NC 28260-2108
Phone (843) 792-6200

Other names 1

  • MUSC Physicians PCP Ben Sawyer Family Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040203000627 SC Part B Supplier - Clinic/Group Practice 4587557731 Receives reassigned benefits from 540 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mount Pleasant, SC; Mt Pleasant, SC; Summerville, SC; Charleston, SC; Daniel Island, SC; Johns Island, SC; Moncks Corner, SC; Florence, SC

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D1043280Muscp Family Medicine Ben Sawyer1440 Ben Sawyer Blvd, Ste 1109, Mt Pleasant, SC 29464Provider-performed microscopyJul 19, 2027

National Provider Directory

National Provider Directory

Locations

1440 Ben Sawyer Blvd
Mt Pleasant, SC 29464
Phone (843) 388-2504

1440 Ben Sawyer Blvd
Ste 1109
Mt Pleasant, SC 29464
Phone (843) 876-8333

1440 Ben Sawyer Blvd
Ste 11091111
Mt Pleasant, SC 29464

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1306252069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602108",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 BEN SAWYER BLVD",
            "address_2": "STE 1109-1111",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645525",
            "telephone_number": "843-792-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FAMILY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "RAE",
        "authorized_official_first_name": "KARYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-876-1344"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MUSC Physicians PCP Ben Sawyer Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MUSC Physicians PCP Ben Sawyer Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.