NPIMap

Organization Active NPI

Charleston Geriatrics and Post - Acute Care LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Mount Pleasant, SC
National Provider Identifier
1487031001
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
29749 Issued in SC
Legal business name
CHARLESTON GERIATRICS AND POST - ACUTE CARE LLC
Practice address
930 Tall Pine Rd
Mount Pleasant, SC 29464-2910
Phone
(843) 209-1454
NPI assigned
May 4, 2015
Last updated
May 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
John E Kleckley, MD
Title
Owner
Phone
(843) 209-1454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X 29749 SC Primary

Addresses

Primary practice location

930 Tall Pine Rd
Mount Pleasant, SC 29464-2910

Mailing address

930 Tall Pine Rd
Mount Pleasant, SC 29464-2910

National Provider Directory

National Provider Directory

Locations

1660 Ingram Rd
Charleston, SC 29407
Phone (843) 556-8314

1662 Ingram Rd
Charleston, SC 29407
Phone (843) 402-9115

175 Market St
Charleston, SC 29401
Phone (843) 723-5553

514 Robert Daniel Dr
Daniel Island, SC 29492
Phone (843) 800-0225

1025 Hungryneck Blvd
Mount Pleasant, SC 29464
Phone (509) 590-0147

900 Bowman Rd
Ste 301
Mt Pleasant, SC 29464
Phone (843) 606-4005

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1487031001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 TALL PINE RD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294642910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 TALL PINE RD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294642910",
            "telephone_number": "843-209-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON GERIATRICS AND POST - ACUTE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "KLECKLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-209-1454",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "SC",
            "license": "29749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.