Organization Active NPI

Charleston Neurology Associates, LLC

  • Neurology Physician
  • Charleston, SC
National Provider Identifier
1508921750
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
12363 Issued in SC
Legal business name
CHARLESTON NEUROLOGY ASSOCIATES, LLC
Practice address
9313 Medical Plaza Dr
Suite 310
Charleston, SC 29406-9155
Phone
(843) 569-1856
Fax
(843) 569-1879
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Authorized official

Name
Dr. John Williams Plyler, M.D.
Title
Managing Partner
Phone
(843) 725-3530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 12363 SC Primary

Addresses

Primary practice location

9313 Medical Plaza Dr
Suite 310
Charleston, SC 29406-9155

Mailing address

9313 Medical Plaza Dr
Suite 310
Charleston, SC 29406-9155
Phone (843) 569-1856

Other identifiers 1

IdentifierTypeStateIssuer
471479MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1508921750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9313 MEDICAL PLAZA DR",
            "address_2": "SUITE 310",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069155",
            "telephone_number": "843-569-1856",
            "fax_number": "843-569-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9313 MEDICAL PLAZA DR",
            "address_2": "SUITE 310",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069155",
            "telephone_number": "843-569-1856",
            "fax_number": "843-569-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON NEUROLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "PLYLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "843-725-3530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "12363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "471479",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.