Individual provider Active NPI

Charles John Doering, M.D.

  • Ophthalmology Physician
  • Murrells Inlet, SC
National Provider Identifier
1396767398
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
28722 Issued in SC
Practice address
4310 Highway 17 Unit 201
Murrells Inlet, SC 29576-5139
Phone
(843) 651-3937
Fax
(843) 651-3940
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 28722 SC Primary

Addresses

Primary practice location

4310 Highway 17 Unit 201
Murrells Inlet, SC 29576-5139

Mailing address

4310 Highway 17 Unit 201
Murrells Inlet, SC 29576-5139
Phone (843) 651-3937

Other identifiers 3

IdentifierTypeStateIssuer
287228MedicaidSC
5905954MedicaidNC
P00464717OtherSCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060502000507 SC Practitioner - Ophthalmology 0840240016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Strand Retina PCGroup PAC ID 3173916087, 2 clinicians

Practice addresses (Care Compare)

1021 Cipriana Dr
Suite 220
Myrtle Beach, SC 29572-4621
Phone (843) 651-3937

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery90

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28722SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Strand Retina PC Ophthalmology CurrentSince Jan 1, 2022 Accepting new patients

Locations

4310 Highway 17
Murrells Inlet, SC 29576
Phone (843) 293-7713

4310 Highway 17
Unit 201
Murrells Inlet, SC 29576
Phone (843) 651-3937

1021 Cipriana Dr
Ste 220
Myrtle Beach, SC 29572
Phone (843) 449-6449

14361 Ocean Hwy
Unit 2B
Pawleys Island, SC 29585
Phone (518) 420-7106

Interoperability endpoints

  • Direct secure messaging: cdoering@gsr.emadirect.md

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1396767398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 HIGHWAY 17 UNIT 201",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765139",
            "telephone_number": "843-651-3937",
            "fax_number": "843-651-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 HIGHWAY 17 UNIT 201",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765139",
            "telephone_number": "843-651-3937",
            "fax_number": "843-651-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERING",
        "first_name": "CHARLES",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "28722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287228",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905954",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00464717",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.