Active NPI
Carl Chelen, MD
- Pediatric Critical Care Medicine Physician
- Florence, SC
National Provider Identifier
1477526473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 20048
- Practice address
- 901 E Cheves St
Ste 400
Florence, SC 29506-2716 - Phone
- (843) 777-7300
- Fax
- (843) 777-7311
- NPI assigned
- Feb 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 20048 | SC | Primary |
Addresses
Primary practice location
901 E Cheves St
Ste 400
Florence, SC 29506-2716
Mailing address
PO Box 3239
Florence, SC 29502-3239
Phone (843) 777-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200482 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20048 | SC | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Regional Medical Center of the Pee Dee, Inc. | Past | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238025600000",
"number": "1477526473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3239",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295023239",
"telephone_number": "843-777-7300",
"fax_number": "843-777-7311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 E CHEVES ST",
"address_2": "STE 400",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295062716",
"telephone_number": "843-777-7300",
"fax_number": "843-777-7311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHELEN",
"first_name": "CARL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2009-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "SC",
"license": "20048",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200482",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.