NPIMap

Medical University Hospital Authority

Organization Active NPI Psychiatric Hospital · Camden, SC

NPI 1306416680 · NPPES record last updated Jun 6, 2025

Key facts

NPI
1306416680
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric Hospital 283Q00000X
Legal business name
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Practice address
1315 Roberts St
Camden, SC 29020-3737
Phone
(803) 432-4311
NPI assigned
Jun 29, 2021
Organization subpart
No

Authorized official

Name
Karyn Rae
Title
Chief, Payor Relations
Phone
(843) 876-1344

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs on the same Medicare enrollment 1

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

Facilities connected through Provider of Services related, parent or unit certification numbers.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 359

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 359

Medicare Care Compare: Hospital

Listed as
Kershawhealth CCN 420048
Overall star rating
★★★☆☆ 3 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in SC

Hospital certification: CCN 420048

Legal name
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Doing business as
KERSHAW MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 16, 2021
Beds
119
Ownership / control type
Private (for profit)
Most recent change of ownership
Nov 1, 2015 (1 total)
Organization structure
Other · Non-profit
Enrollment address
1315 Roberts St
Camden, SC 29020-3737
Main/Primary Hospital Location
Hospital subgroups
Acute care

Hospital certification: CCN 42S048

Legal name
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Doing business as
KERSHAW MEDICAL CENTER
Organization structure
Other · Proprietary
Enrollment address
1315 Roberts St
Camden, SC 29020-3737
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Barbara Johnson Williams
Individual 		Corporate Director Jan 1, 2026
William M Brown
Individual 		Corporate Director Jan 1, 2026
Michael Stavrinakis
Individual 		Corporate Director Jan 1, 2026
Douglas E Lischke
Individual 		W-2 Managing Employee
Cfo		 Dec 1, 2024
Terri Barnes
Individual 		Corporate Director Jan 1, 2026
Bartlett J Witherspoon
Individual 		Corporate Director Jan 1, 2026
James Lemon
Individual 		Corporate Director Jan 1, 2026
Medical University of South Carolina
Organization · Charleston, SC
Non-profit 		Operational/Managerial Control Mar 1, 2019
Sonya Floyd
Individual 		W-2 Managing Employee
Manager, Provider Enrollment and		 Aug 1, 2021
W-2 Managing Employee
Manager/Provider Enrollment &Con		 Aug 1, 2021
Henry Frederick Butehorn
Individual 		Corporate Director Jan 1, 2026
Karyn Rae
Individual 		Corporate Director
Chief,Payor Relations, Reimburse		 Aug 1, 2021
Corporate Director
Chief Payor Relations & Reimburs		 Aug 1, 2021
Patrick J Cawley
Individual 		Corporate Officer
Ceo		 Aug 1, 2021
Charles Castles
Individual 		Corporate Director Jan 1, 2026
Thomas Stephenson
Individual 		Corporate Director Jan 1, 2026
George M Smith
Individual 		Corporate Director Jan 1, 2026
Donald Roger Johnson
Individual 		Corporate Director Jan 1, 2026
Charles Schulze
Individual 		Corporate Director Jan 1, 2026
Richard M Christian
Individual 		Corporate Director Jan 1, 2026
Lisa M Goodlett
Individual 		Corporate Officer
Cfo		 Aug 1, 2021

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tidelands Waccamaw Community Hospital
Murrells Inlet, SC · CCN 420098		 Hospital Operational/Managerial Control Oct 1, 2025
Tidelands Georgetown Memorial Hospital
Georgetown, SC · CCN 420020		 Hospital Operational/Managerial Control Oct 1, 2025
Musc Health Lancaster Medical Center
Lancaster, SC · CCN 429803		 Hospital Operational/Managerial Control (100%) Mar 1, 2019
Musc Health Lancaster Rehabilitation Center
Lancaster, SC · CCN 42T036		 Hospital Operational/Managerial Control (100%) Mar 1, 2019
Tidelands Georgetown Memorial Hospital
Georgetown, SC · CCN 42U020		 Hospital Operational/Managerial Control Oct 1, 2025
Tidelands Health Family Medicine at Georgetown
Georgetown, SC · CCN 428958		 Rural health clinic Operational/Managerial Control Oct 1, 2020
Tidelands Health Family Medicine at Hemingway
Hemingway, SC · CCN 423859		 Rural health clinic Operational/Managerial Control Oct 1, 2025
Tidelands Health Family Medicine
Andrews, SC · CCN 423970		 Rural health clinic Operational/Managerial Control Oct 1, 2025
Tidelands Health Family Medicine at Pawleys Island
Pawleys Island, SC · CCN 423870		 Rural health clinic Operational/Managerial Control Oct 1, 2025
Musc Health Primary Care - Thurgood Marshall Blvd
Kingstree, SC · CCN 423448		 Rural health clinic Operational/Managerial Control (100%) Dec 1, 2022
Musc Community Physicians
Branchville, SC · CCN 423856		 Rural health clinic Operational/Managerial Control (100%) Aug 1, 2021

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210826000619 SC Part a Provider - Hospital 1557268950 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Camden, SC; Elgin, SC; Lugoff, SC
O20211012002683 SC Part a Provider - Hospital 1557268950 1 other NPI on this enrollment
Practice locations: Camden, SC

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Yes

Addresses

Primary practice location

1315 Roberts St
Camden, SC 29020-3737

Mailing address

PO Box 23469
New York, NY 10087-3469
Phone (843) 792-2311

Other names

  • MUSC Health Senior Retreat Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 6, 2025.

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1306416680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23469",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873469",
            "telephone_number": "843-792-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ROBERTS ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290203737",
            "telephone_number": "803-432-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL UNIVERSITY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "RAE",
        "authorized_official_first_name": "KARYN",
        "authorized_official_title_or_position": "CHIEF, PAYOR RELATIONS",
        "authorized_official_telephone_number": "843-876-1344"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MUSC Health Senior Retreat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camden, SC

All providers in Camden, SC · Psychiatric Hospital in South Carolina

Sources for this page

Verify at the official NPI Registry.