John Charles, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

14492 Issued in SC

Practice address

809 82ND Pkwy
Myrtle Beach, SC 29572-4607

Phone

(843) 497-5929

Fax

(843) 497-9940

NPI assigned

Jul 8, 2005

Last updated

Oct 18, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General Practice

Education

University of South Carolina School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healogics Specialty Physicians of South Carolina LLCGroup PAC ID 8325261209, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health of Myrtle Beach Home health agency, Myrtle Beach, SC, CCN 427067
• Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Healogics Specialty Physicians of South Carolina, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Myrtle Beach, SC
  • NPI 1033531850
  Medicare reassignment Care Compare group NPD
• Healogics Specialty Physicians of South Carolina, LLC

  dba Upstate Wound Care by Healogics

  • Clinic/Center
  • Spartanburg, SC
  • NPI 1023677945
  NPD

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

• Georgetown Hospital Home Health LLC

  dba Amedisys Home Health of Myrtle Beach

  • Home Health Agency
  • Myrtle Beach, SC
  • NPI 1811955065
  Care Compare affiliation
• Grand Strand Regional Medical Center LLC

  dba Grand Strand Medical Center

  • General Acute Care Hospital
  • Myrlte Beach, SC
  • NPI 1083668669
  Care Compare affiliation

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1457359044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 OLEANDER DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775741",
            "telephone_number": "843-497-5929",
            "fax_number": "843-497-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 82ND PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724607",
            "telephone_number": "843-497-5929",
            "fax_number": "843-497-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "14492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144926",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Changankerry, MD
• Jamie Lynn Chapman, ARNP
• Lindsey Pritchard Chappell, OTR/L
• Charles E Corbett Jr, DMD
• Charles E Corbett Jr, DMD PA
• Karissa Lena Maria Charles
• Charleston Vamc
• Matthew Chase, OT
• Joel M Cheek, RPT
• Kambayanda Leela Chengappa, M.D.,

• Emergency Medicine Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Emergency Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.