Organization Active NPI

Charleston Gastroenterology Specialists

  • Anatomic Pathology & Clinical Pathology Physician
  • Summerville, SC
National Provider Identifier
1356050561
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
CHARLESTON GASTROENTEROLOGY SPECIALISTS
Practice address
328 Midland Pkwy
Summerville, SC 29485-8102
Phone
(843) 722-8000
Fax
(843) 647-6066
NPI assigned
Nov 16, 2022
Last updated
Nov 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Authorized official

Name
Sherry M Searson
Title
Business Services Manager
Phone
(843) 793-5188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU Primary

Addresses

Primary practice location

328 Midland Pkwy
Summerville, SC 29485-8102

Mailing address

2001 2ND Ave Ste 101
Summerville, SC 29486-7887
Phone (843) 793-5182

Other identifiers 1

IdentifierTypeStateIssuer
GP0680MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CharlestonGI@directaddress.net

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
42D0250504Charleston Gastroenterology Specialists328 Midland Parkway, Summerville, SC 29485ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: charlestongi@directaddress.net

NPI Registry JSON

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1356050561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 2ND AVE STE 101",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867887",
            "telephone_number": "843-793-5182",
            "fax_number": "843-266-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 MIDLAND PKWY",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858102",
            "telephone_number": "843-722-8000",
            "fax_number": "843-647-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON GASTROENTEROLOGY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "SEARSON",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS SERVICES MANAGER",
        "authorized_official_telephone_number": "843-793-5188"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0680",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CharlestonGI@directaddress.net",
            "affiliation": "N",
            "address_1": "328 Midland Pkwy",
            "city": "Summerville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294858102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.