Charleston Medicine and Behavioral Health, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CHARLESTON MEDICINE AND BEHAVIORAL HEALTH, LLC

Practice address

125 Wappoo Creek Dr Ste 202a
Charleston, SC 29412-5100

Phone

(843) 913-8858

Fax

(843) 284-9558

NPI assigned

Dec 8, 2021

Last updated

Apr 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William Rodney Andrews, NP-CNPI 1154969012

Title

Manager/Owner

Phone

(843) 913-8558

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25788/brand/1/csg/1/fhir/r4

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William R. Andrews, APRN

  • Gerontology Nurse Practitioner
  • Charleston, SC
  • NPI 1154969012
  Medicare reassignment Care Compare group NPD Authorized official
• Sarah Harlan Zourzoukis

  • Primary Care Nurse Practitioner
  • North Charleston, SC
  • NPI 1912604380
  Medicare reassignment Care Compare group NPD
• William Melvin Brown III, M.D.

  • General Practice Physician
  • Charleston, SC
  • NPI 1538237383
  Medicare reassignment NPD
• Caroline P Scruggs, CNM

  • Advanced Practice Midwife
  • Charleston, SC
  • NPI 1669621017
  Medicare reassignment NPD
• Stella Shifrin-Tatesure, FNP

  • Family Nurse Practitioner
  • Charleston, SC
  • NPI 1306523766
  NPD (past)

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1518625441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13689",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294223689",
            "telephone_number": "843-913-8558",
            "fax_number": "843-284-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WAPPOO CREEK DR STE 202A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294125100",
            "telephone_number": "843-913-8858",
            "fax_number": "843-284-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON MEDICINE AND BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RODNEY",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "843-913-8558",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.charlestonmedicine.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "125 Wappoo Creek Dr Ste 202A",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294125100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charleston Internal Medicine, LLC
• Charleston Jaw Surgery
• Charleston Maternal Fetal Medicine LLC
• Charleston Medical Associates (Generations Pediatrics and Internal Medicine)
• Charleston Medical Clinic
• Charleston Memorial Hospital
• Charleston Memorial Hospital
• Charleston Mental Wellness, LLC
• Charleston Neck & Back Care, LLC
• Charleston Neurology Associates, LLC

• Health Service Clinic/Center in Charleston, SC
• Providers in Charleston, SC by specialty
• Health Service Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.