Active NPI
Elliot Seth Stolerman, M.D.
- Clinical Genetics (M.D.) Physician
- North Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Genetics (M.D.) Physician
- License
- 36225
- Practice address
- 3520 W Montague Ave Ste 104
North Charleston, SC 29418-6083 - Phone
- (843) 746-1001
- Fax
- (843) 735-5097
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 56369 | GA | |
| Clinical Genetics (M.D.) Physician | 207SG0201X | 214201 | MA | |
| Clinical Genetics (M.D.) Physician | 207SG0201X | 36225 | SC | Primary |
Addresses
Primary practice location
3520 W Montague Ave Ste 104
North Charleston, SC 29418-6083
Mailing address
101 Gregor Mendel Cir
Greenwood, SC 29646-2316
Phone (864) 941-8100
Other practice location 1
14 Edgewood Dr
Greenville, SC 29605-4246
Phone (864) 941-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 362253 | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- State University of New York Downstate Medical Center, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14 Edgewood Dr
Greenville, SC 29605-4246
Phone (864) 250-7944
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56369 | GA | MD | Internal Medicine Physician |
| 214201 | MA | MD | Clinical Genetics (M.D.) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenwood Genetics Center, Inc. | Clinical Genetics (M.D.) | Current | Accepting new patients |
| Greenwood Genetic Center Lab | Current | Accepting new patients | |
| Cooperative Healthcare Services Inc | Internal Medicine | Past | Accepting new patients |
Locations
14 Edgewood Dr
Greenville, SC 29605
Phone (864) 232-1803
101 Gregor Mendel Cir
Greenwood, SC 29646
Phone (864) 941-8100
3520 W Montague Ave
Ste 104
North Charleston, SC 29418
Phone (843) 746-1001
Interoperability endpoints
- estolerman473658@direct.musc.edu
Organizations & group practices 3
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.
-
- Clinical Genetics (M.D.) Physician
- Greenwood, SC
- NPI 1649261462
-
- Clinical Medical Laboratory
- Greenwood, SC
- NPI 1669463014
-
dba Southeast Georgia Physician Associates
- Clinic/Center
- Brunswick, GA
- NPI 1417979402
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1457414161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 GREGOR MENDEL CIR",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296462316",
"telephone_number": "864-941-8100",
"fax_number": "864-941-8114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 W MONTAGUE AVE STE 104",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294186083",
"telephone_number": "843-746-1001",
"fax_number": "843-735-5097"
}
],
"practiceLocations": [
{
"address_1": "14 Edgewood Dr",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296054246",
"country_code": "US",
"telephone_number": "864-941-8100",
"fax_number": "864-941-8114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOLERMAN",
"first_name": "ELLIOT",
"middle_name": "SETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "56369",
"primary": false
},
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "MA",
"license": "214201",
"primary": false
},
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "SC",
"license": "36225",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "362253",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.