Individual provider Active NPI

Charis Prichard Taylor, M.D.

  • Internal Medicine Physician
  • Irmo, SC
National Provider Identifier
1407036734
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
32671 Issued in SC
Practice address
7182 Woodrow St Ste 200
Irmo, SC 29063-2958
Phone
(803) 749-1111
Fax
(803) 749-0050
NPI assigned
Nov 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X AN3187956-R35 NC
Internal Medicine Physician 207R00000X 32671 SC Primary

Addresses

Primary practice location

7182 Woodrow St Ste 200
Irmo, SC 29063-2958

Mailing address

7182 Woodrow St Ste 200
Irmo, SC 29063-2958
Phone (803) 749-1111

Other practice location 1

7021 Saint Andrews Rd Ste 2
Columbia, SC 29212-1177
Phone (803) 749-1111

Other practice location 2

1 Wellness Blvd Ste 109
Irmo, SC 29063-2872
Phone (803) 749-1111

Other practice location 3

1 Wellness Blvd Ste 114
Irmo, SC 29063-2873
Phone (803) 749-1111

Other identifiers 1

IdentifierTypeStateIssuer
Q95000MedicaidSC

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
I20100803001041 SC Practitioner - Internal Medicine 8224182241 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Carolina School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7182 Woodrow St
Suite 200
Irmo, SC 29063-2832
Phone (803) 749-1111

Hospital & facility affiliations

  • Amedisys Home Health of Lexington Home health agency, Lexington, SC, CCN 427039
  • Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018
  • Prisma Health Baptist Hospital, Columbia, SC, CCN 420086
  • Prisma Health Baptist Parkridge Hospital, Columbia, SC, CCN 420106
  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AN3187956-R35NCMDInternal Medicine Physician
32671SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Musc Community Physicians CurrentSince Aug 1, 2021 Accepting new patients
South Carolina Internal Medicine Associates and Rehabilitation,L.L.C. Internal Medicine CurrentSince Nov 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Carolina Bone & Joint PA PastSince May 19, 2024 Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1901 Main St
#1105
Columbia, SC 29201

7021 Saint Andrews Rd
Ste 2
Columbia, SC 29212
Phone (803) 749-1111

7021 Saint Andrews Rd
#2
Columbia, SC 29212
Phone (803) 749-1111

2001 Laurel St
Ste 300
Columbia, SC 29204
Phone (803) 254-2786

1 Wellness Blvd
Ste 109
Irmo, SC 29063
Phone (803) 749-1111

7182 Woodrow St
Ste 200
Irmo, SC 29063
Phone (803) 749-1111

1 Wellness Blvd
Ste 202
Irmo, SC 29063
Phone (803) 470-7040

Interoperability endpoints

  • Direct secure messaging: ctaylor379679@direct.musc.edu
  • Direct secure messaging: ctaylor625373@direct.ghs.myhfn.org

Organizations & group practices 5

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 12

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": "1194048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1407036734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7182 WOODROW ST STE 200",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632958",
            "telephone_number": "803-749-1111",
            "fax_number": "803-749-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7182 WOODROW ST STE 200",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632958",
            "telephone_number": "803-749-1111",
            "fax_number": "803-749-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7021 Saint Andrews Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292121177",
            "country_code": "US",
            "telephone_number": "803-749-1111",
            "fax_number": "803-749-0050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Wellness Blvd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "290632872",
            "country_code": "US",
            "telephone_number": "803-749-1111",
            "fax_number": "803-749-0050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Wellness Blvd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "290632873",
            "country_code": "US",
            "telephone_number": "803-749-1111",
            "fax_number": "803-749-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CHARIS",
        "middle_name": "PRICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-03",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "AN3187956-R35",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "32671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q95000",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

Verify at the official NPI Registry.