Stephanie Leigh Price, D.O.
Individual provider Active NPI Child & Adolescent Psychiatry Physician · Charleston, SC
NPI 1487948774 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1487948774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- License
- DO36679 (SC)
- Practice address
- 263 King St Ste B
Charleston, SC 29401-1420 - Phone
- (843) 801-6877
- Fax
- (877) 991-5019
- NPI assigned
- Jun 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
- Group practices
- DJB MD LLC
Practice addresses (Care Compare)
115 Fairchild St
Suite 170
Daniel Island, SC 29492-7602
Phone (803) 339-1563
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160815001282 | SC | Practitioner - Psychiatry | 7113163601 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 390200000X | IN | MD | Obstetrics & Gynecology Physician |
| DO36679 | SC | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SLP Bridge, LLC | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| South Carolina Dept of Mental Health Accounting Office | Current |
Accepting new patients | |
| DJB MD LLC | Current |
Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current |
Accepting new patients | |
| South Carolina Dept of Mental Health Accounting Office | Current |
Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current |
Accepting new patients |
Locations
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
164 Waccamaw Medical Park Dr
Conway, SC 29526
Phone (843) 347-4888
115 Fairchild St
Ste 170
Daniel Island, SC 29492
Phone (803) 339-1563
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 390200000X | IN | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | DO36679 | SC | Yes |
Addresses
Primary practice location
263 King St Ste B
Charleston, SC 29401-1420
Mailing address
263-B King Street
Charleston, SC 29401
Phone (843) 801-6877
Other practice location 1
171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414
Other providers in Charleston, SC
- Beth Shilepsky Price
- Brandy Englert Price
- Joanne Grace Price
- Michelle Price
- Michelle Ann Price
- Susan Blair Price
- Michelle Alyson Prichard
- Prickly Palms LLC
- Pamela J Pride
- Kelli Gaudin Priest
All providers in Charleston, SC · Child & Adolescent Psychiatry Physician 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 Jul 21, 2022. 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.
- Order and Referring (CMS).
- 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.