Individual provider Active NPI

George E Minson, M.D.

  • Internal Medicine Physician
  • North Charleston, SC
National Provider Identifier
1487616454
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9998 Issued in SC
Practice address
2845 Tricom St
North Charleston, SC 29406-9172
Phone
(843) 797-1770
Fax
(843) 377-1305
NPI assigned
Apr 5, 2006
Last updated
Aug 30, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9998 SC Primary

Addresses

Primary practice location

2845 Tricom St
North Charleston, SC 29406-9172

Mailing address

2845 Tricom St
North Charleston, SC 29406-9172
Phone (843) 797-1770

Other identifiers 2

IdentifierTypeStateIssuer
099985MedicaidSC
110073908OtherSCRAILROAD MEDICARE ID#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101012000258 SC Practitioner - Internal Medicine 2466366091 Reassigns benefits to 1 organization
I20191024002193 GA Practitioner - Internal Medicine 2466366091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Virginia School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Infusion Services LLCGroup PAC ID 4688578826, 60 clinicians

Practice addresses (Care Compare)

1027 Physicians Dr
Suite 220
Charleston, SC 29414-5352
Phone (803) 771-7740

317 Hinson Dr
Myrtle Beach, SC 29579-4435
Phone (800) 809-1265

40 Okatie Ctr Blvd S
Suite 303
Okatie, SC 29909-7507
Phone (843) 414-0287

404 Town Park Blvd
Suite 201
Evans, GA 30809-3491
Phone (800) 809-1265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9998SCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Infusion Services LLC CurrentSince Aug 1, 2013 Accepting new patients
Coastal Carolina Primary Care, LLC Past Accepting new patients

Locations

404 Town Park Blvd
Ste 201
Evans, GA 30809

595 Hurricane Shoals Rd NW
Ste 102
Lawrenceville, GA 30046

7426 Hodgson Memorial Dr
Ste B
Savannah, GA 31406

1181 Ribaut Rd
Ste 102
Beaufort, SC 29902

1027 Physicians Dr
Ste 220
Charleston, SC 29414
Phone (843) 553-7588

1300 Hospital Dr
Ste 100
Mt Pleasant, SC 29464
Phone (843) 849-8418

9295 Medical Plaza Dr
Ste C
North Charleston, SC 29406
Phone (843) 414-0287

40 Okatie Center Blvd S
Ste 303
Okatie, SC 29909
Phone (843) 414-0287

139 Willbrook Blvd
Unit A
Pawleys Island, SC 29585
Phone (843) 979-4100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1487616454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 TRICOM ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069172",
            "telephone_number": "843-797-1770",
            "fax_number": "843-377-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 TRICOM ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069172",
            "telephone_number": "843-797-1770",
            "fax_number": "843-377-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINSON",
        "first_name": "GEORGE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "9998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099985",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID#",
            "identifier": "110073908",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.