NPIMap

Individual provider Active NPI

Saju Joy, MD

  • Maternal & Fetal Medicine Physician
  • Charleston, SC
National Provider Identifier
1356375968
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
36672 Issued in SC
Practice address
96 Jonathan Lucas St # 619
Charleston, SC 29425-8413
Phone
(843) 792-2867
NPI assigned
Jul 10, 2006
Last updated
May 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 36672 SC Primary
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

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

Other practice location 3

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

Electronic endpoints 2

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

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
I20240530002482 SC Practitioner - Obstetrics/Gynecology 3173615721 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
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 CurrentSince May 1, 2024 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince May 1, 2024 Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients
Lancaster Hospital Corporation 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) 792-1200

Ownership & related parties

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 HospitalMurrells Inlet, SC, CCN 420098 Hospital Corporate Director
Operational/Managerial Control		 Oct 1, 2025
Oct 1, 2025
Carolinas Medical CenterCharlotte, NC, CCN 340113 Hospital W-2 Managing Employee Jan 1, 2020
Tidelands Georgetown Memorial HospitalGeorgetown, SC, CCN 420020 Hospital Corporate Director
Operational/Managerial Control		 Oct 1, 2025
Oct 1, 2025
Tidelands Georgetown Memorial HospitalGeorgetown, SC, CCN 42U020 Hospital Corporate Director
Operational/Managerial Control		 Oct 1, 2025
Oct 1, 2025
Musc Health at Home by Bayada-CharlestonCharleston, SC, CCN 427004 Home health agency Corporate Director Mar 6, 2024
Musc Health at Home by Bayada-ConwayMyrtle Beach, SC, CCN 427135 Home health agency Corporate Director Mar 6, 2024
Musc Health Hospice at Home by Bayada - CharlestonNorth Charleston, SC, CCN 421647 Hospice Corporate Director Mar 6, 2024
Tidelands Health Family Medicine at GeorgetownGeorgetown, SC, CCN 428958 Rural health clinic Corporate Director
Operational/Managerial Control		 Oct 1, 2025
Oct 1, 2025
Tidelands Health Family Medicine at HemingwayHemingway, SC, CCN 423859 Rural health clinic Corporate Director
Operational/Managerial Control		 Oct 1, 2025
Oct 1, 2025
Tidelands Health Family MedicineAndrews, SC, CCN 423970 Rural health clinic Corporate Director
Operational/Managerial Control		 Oct 1, 2025
Oct 1, 2025
Tidelands Health Family Medicine at Pawleys IslandPawleys Island, SC, CCN 423870 Rural health clinic Corporate Director
Operational/Managerial Control		 Oct 1, 2025
Oct 1, 2025

Owned or controlled facilities with NPI records 16

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

View all 16

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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": "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"
        },
        {
            "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"
        }
    ],
    "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

Sources for this page

Verify at the official NPI Registry.