Active NPI
Charleston Neurology Associates, LLC
- Neurology Physician
- Charleston, SC
National Provider Identifier
1508921750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 12363
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 471479 | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI 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
- Charleston Medicine and Behavioral Health, LLC
- Charleston Memorial Hospital
- Charleston Memorial Hospital
- Charleston Mental Wellness, LLC
- Charleston Neck & Back Care, LLC
- Charleston Neurosciences Institute (Retina Consultants of South Carolina)
- Charleston Non Surgical Center
- Charleston OB/GYN, LLC
- Charleston Oncology, PA
- Charleston Oral and Maxillofacial Surgery Associates LLC
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.