Individual provider Active NPI

Stephanie Leigh Price, D.O.

  • Child & Adolescent Psychiatry Physician
  • Charleston, SC
National Provider Identifier
1487948774
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
DO36679 Issued in 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
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 390200000X IN
Child & Adolescent Psychiatry Physician 2084P0804X DO36679 SC Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160815001282 SC Practitioner - Psychiatry 7113163601 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
DJB MD LLCGroup PAC ID 8325467384, 8 clinicians

Practice addresses (Care Compare)

115 Fairchild St
Suite 170
Daniel Island, SC 29492-7602
Phone (803) 339-1563

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36679SCMDPharmacist
390200000XINMDEmergency Medicine Physician
DO36679SCMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew 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 CurrentSince Nov 27, 2017 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Nov 27, 2017 Accepting new patients
DJB MD LLC CurrentSince Apr 1, 2025 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Jun 28, 2016 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Jun 28, 2016 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

Organizations & group practices 7

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": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487948774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263-B KING STREET",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29401",
            "telephone_number": "843-801-6877",
            "fax_number": "877-991-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 KING ST STE B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011420",
            "telephone_number": "843-801-6877",
            "fax_number": "877-991-5019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Ashley Ave",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294258908",
            "country_code": "US",
            "telephone_number": "843-792-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "STEPHANIE",
        "middle_name": "LEIGH",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IN",
            "license": "390200000X",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "SC",
            "license": "DO36679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.