Medical University Hospital Authority
Organization Active NPI General Acute Care Hospital · Camden, SC
NPI 1487220307 · NPPES record last updated May 2, 2025
Key facts
- NPI
- 1487220307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- MEDICAL UNIVERSITY HOSPITAL AUTHORITY
- Practice address
- 1315 Roberts St
Camden, SC 29020-3737 - Phone
- (803) 432-4311
- NPI assigned
- Jun 1, 2021
- Organization subpart
- No
Authorized official
- Name
- Karyn Rae
- Title
- Chair
- Phone
- (843) 876-1344
Owners & managing parties with NPI records 8
-
William Melvin Brown III, M.D.
-
James Lemon, D.M.D
-
George M Smith, M.D.
Other NPIs on the same Medicare enrollment 1
Related certifications (CCN) 1
Facilities with the same owner 9
Practitioners 6
-
Charles Hildebrand, D.O.
-
Aamir Hasan, M.D
Affiliated clinicians 359
-
Alycia Strickland Abdulla, FNP-BC
-
Mitchell Todd Alderson, M.D.
-
Gina Allen, NP
-
Mallory Bunton Anderson, FNP-BC
-
Michael B Anderson, M.D.
-
John Kenneth Baker, M.D.
-
Olajide A. Balogun, M.D.
-
Praneeth Baratam, MD
-
Fritz Albert Basile, D.O.
-
Paula L Belmar, MD
-
Tarun Bhandari, MD
-
Henry Cooper Black III, M.D.
-
Brandi Blackmon, PA-C
-
Anne B Blake, NP
-
Brian Boone, M.D.
Medicare Care Compare: Hospital
- Listed as
- Kershawhealth
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in SC
Hospital certification: CCN 420048
- Legal name
- MEDICAL UNIVERSITY HOSPITAL AUTHORITY
- Doing business as
- KERSHAW MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Dec 16, 2021
- Beds
- 119
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Nov 1, 2015 (1 total)
- Organization structure
- Other · Non-profit
- Enrollment address
- 1315 Roberts St
Camden, SC 29020-3737 - Hospital subgroups
- Acute care
Hospital certification: CCN 42S048
- Legal name
- MEDICAL UNIVERSITY HOSPITAL AUTHORITY
- Doing business as
- KERSHAW MEDICAL CENTER
- Organization structure
- Other · Proprietary
- Enrollment address
- 1315 Roberts St
Camden, SC 29020-3737 - Hospital subgroups
- Psychiatric unit
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Barbara Johnson Williams |
Corporate Director | Jan 1, 2026 | |
| William M Brown |
Corporate Director | Jan 1, 2026 | |
| Michael Stavrinakis |
Corporate Director | Jan 1, 2026 | |
| Douglas E Lischke |
W-2 Managing Employee |
Dec 1, 2024 | |
| Terri Barnes |
Corporate Director | Jan 1, 2026 | |
| Bartlett J Witherspoon |
Corporate Director | Jan 1, 2026 | |
| James Lemon |
Corporate Director | Jan 1, 2026 | |
| Medical University of South Carolina |
Operational/Managerial Control | Mar 1, 2019 | |
| Sonya Floyd |
W-2 Managing Employee |
Aug 1, 2021 | |
| W-2 Managing Employee |
Aug 1, 2021 | ||
| Henry Frederick Butehorn |
Corporate Director | Jan 1, 2026 | |
| Karyn Rae |
Corporate Director |
Aug 1, 2021 | |
| Corporate Director |
Aug 1, 2021 | ||
| Patrick J Cawley |
Corporate Officer |
Aug 1, 2021 | |
| Charles Castles |
Corporate Director | Jan 1, 2026 | |
| Thomas Stephenson |
Corporate Director | Jan 1, 2026 | |
| George M Smith |
Corporate Director | Jan 1, 2026 | |
| Donald Roger Johnson |
Corporate Director | Jan 1, 2026 | |
| Charles Schulze |
Corporate Director | Jan 1, 2026 | |
| Richard M Christian |
Corporate Director | Jan 1, 2026 | |
| Lisa M Goodlett |
Corporate Officer |
Aug 1, 2021 |
All facility ownership & control disclosures 11
| Facility | Type | Role | Since |
|---|---|---|---|
| Tidelands Waccamaw Community Hospital |
Hospital | Operational/Managerial Control | Oct 1, 2025 |
| Tidelands Georgetown Memorial Hospital |
Hospital | Operational/Managerial Control | Oct 1, 2025 |
| Musc Health Lancaster Medical Center |
Hospital | Operational/Managerial Control (100%) | Mar 1, 2019 |
| Musc Health Lancaster Rehabilitation Center |
Hospital | Operational/Managerial Control (100%) | Mar 1, 2019 |
| Tidelands Georgetown Memorial Hospital |
Hospital | Operational/Managerial Control | Oct 1, 2025 |
| Tidelands Health Family Medicine at Georgetown |
Rural health clinic | Operational/Managerial Control | Oct 1, 2020 |
| Tidelands Health Family Medicine at Hemingway |
Rural health clinic | Operational/Managerial Control | Oct 1, 2025 |
| Tidelands Health Family Medicine |
Rural health clinic | Operational/Managerial Control | Oct 1, 2025 |
| Tidelands Health Family Medicine at Pawleys Island |
Rural health clinic | Operational/Managerial Control | Oct 1, 2025 |
| Musc Health Primary Care - Thurgood Marshall Blvd |
Rural health clinic | Operational/Managerial Control (100%) | Dec 1, 2022 |
| Musc Community Physicians |
Rural health clinic | Operational/Managerial Control (100%) | Aug 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210826000619 | SC | Part a Provider - Hospital | 1557268950 |
1 other NPI on this enrollment Practice locations: Camden, SC; Elgin, SC; Lugoff, SC |
| O20211012002683 | SC | Part a Provider - Hospital | 1557268950 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Camden, SC |
| O20231024003906 | SC | Part B Supplier - Intensive Cardiac Rehabilitation | 1557268950 | Practice locations: Camden, SC |
National Provider Directory
Locations
806 Green Valley Rd
Ste 200
Greensboro, NC 27408
Phone (336) 298-1699
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
1315 Roberts St
Camden, SC 29020-3737
Mailing address
PO Box 23469
New York, NY 10087-3469
Phone (843) 792-1414
Other names
- MUSC Health Kershaw Medical Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
Other providers in Camden, SC
- Me Pivot Holdings LLC
- Medical University Hospital Authority
- Medical University Hospital Authority
- Medical University Hospital Authority
- Medical University Hospital Authority
- Sheresa S. Melvin
- Germaine Middleton
- Midlands Anesthesia Company, LLC
- Mill Street Medical Associates, LLP
- Larissa Miller
All providers in Camden, SC · General Acute Care Hospital in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.