NPIMap

Saju Joy, MD

Individual provider Active NPI Maternal & Fetal Medicine Physician · Charleston, SC

NPI 1356375968 · NPPES record last updated May 3, 2024

Key facts

NPI
1356375968
Entity type
Individual (NPI type 1)
Primary specialty
Maternal & Fetal Medicine Physician 207VM0101X
License
36672 (SC)
Practice address
96 Jonathan Lucas St # 619
Charleston, SC 29425-8413
Phone
(843) 792-2867
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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

Owned or controlled facilities with NPI records 16

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

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 Corporate Director
Operational/Managerial Control		 Oct 1, 2025
Oct 1, 2025
Carolinas Medical Center
Charlotte, NC · CCN 340113		 Hospital W-2 Managing Employee Jan 1, 2020
Tidelands Georgetown Memorial Hospital
Georgetown, SC · CCN 420020		 Hospital Corporate Director
Operational/Managerial Control		 Oct 1, 2025
Oct 1, 2025
Tidelands Georgetown Memorial Hospital
Georgetown, SC · CCN 42U020		 Hospital Corporate Director
Operational/Managerial Control		 Oct 1, 2025
Oct 1, 2025
Musc Health at Home by Bayada-Charleston
Charleston, SC · CCN 427004		 Home health agency Corporate Director Mar 6, 2024
Musc Health at Home by Bayada-Conway
Myrtle Beach, SC · CCN 427135		 Home health agency Corporate Director Mar 6, 2024
Musc Health Hospice at Home by Bayada - Charleston
North Charleston, SC · CCN 421647		 Hospice Corporate Director Mar 6, 2024
Tidelands Health Family Medicine at Georgetown
Georgetown, SC · CCN 428958		 Rural health clinic Corporate Director
Operational/Managerial Control		 Oct 1, 2025
Oct 1, 2025
Tidelands Health Family Medicine at Hemingway
Hemingway, SC · CCN 423859		 Rural health clinic Corporate Director
Operational/Managerial Control		 Oct 1, 2025
Oct 1, 2025
Tidelands Health Family Medicine
Andrews, SC · CCN 423970		 Rural health clinic Corporate Director
Operational/Managerial Control		 Oct 1, 2025
Oct 1, 2025
Tidelands Health Family Medicine at Pawleys Island
Pawleys Island, SC · CCN 423870		 Rural health clinic Corporate Director
Operational/Managerial Control		 Oct 1, 2025
Oct 1, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240530002482 SC Practitioner - Obstetrics/Gynecology 3173615721 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36672SCMDPharmacist
2006-00985NCMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol Current
since May 1, 2024		 Accepting new patients
University Medical Associates of the Medical University of South Carol Current
since May 1, 2024		 Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients
Medical University Hospital Authority Past Accepting new patients

Locations

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

96 Jonathan Lucas St
#619
Charleston, SC 29425
Phone (843) 792-2867

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 36672 SC Yes
Maternal & Fetal Medicine Physician 207VM0101X 2006-00985 NC

Addresses

Primary practice location

96 Jonathan Lucas St # 619
Charleston, SC 29425-8413

Mailing address

PO Box 751461
Charlotte, NC 28275-1461

Other practice location 1

10660 Park Rd
Ste 4300
Charlotte, NC 28210-8413
Phone (704) 355-5670

Other practice location 2

1025 Morehead Medical Dr
Ste 500, 5th Floor
Charlotte, NC 28204-2963
Phone (704) 355-3149

Other practice location 3

200 Medical Park Dr
Ste 250
Concord, NC 28025-2982
Phone (704) 403-4189

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address Ambulatory@direct.carolinashealthcare.org Atrium Health
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 3, 2024.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1356375968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751461",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 JONATHAN LUCAS ST # 619",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258413",
            "telephone_number": "843-792-2867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10660 Park Rd",
            "address_2": "Ste 4300",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108413",
            "country_code": "US",
            "telephone_number": "704-355-5670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 Morehead Medical Dr",
            "address_2": "Ste 500, 5th Floor",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282042963",
            "country_code": "US",
            "telephone_number": "704-355-3149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Medical Park Dr",
            "address_2": "Ste 250",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252982",
            "country_code": "US",
            "telephone_number": "704-403-4189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOY",
        "first_name": "SAJU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "SC",
            "license": "36672",
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NC",
            "license": "2006-00985",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ambulatory@direct.carolinashealthcare.org",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "10660 Park Rd",
            "address_2": "Ste 4300",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282108413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "96 Jonathan Lucas St # 619",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294258413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

All providers in Charleston, SC · Maternal & Fetal Medicine Physician in South Carolina

Sources for this page

Verify at the official NPI Registry.