Active NPI
J. Chris Hawk III, M.D.
- Surgery Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 9036
- Practice address
- 125 Doughty St
Suite 660
Charleston, SC 29403-5736 - Phone
- (843) 577-7550
- Fax
- (843) 853-5588
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 9036 | SC | Primary |
Addresses
Primary practice location
125 Doughty St
Suite 660
Charleston, SC 29403-5736
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (843) 789-1620
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 090369 | Medicaid | SC | |
| P00727228 | Other | SC | RAILROAD MEDICARE ID-RSFPN |
| P00775511 | Other | SC | RAILROAD MEDICARE ID-AFTER 5/1/2009 |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Vanderbilt University School of Medicine, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Doughty St
Suite 660
Charleston, SC 29403-5731
Phone (843) 577-7550
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9036 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roper Saint Francis Physicians Network | Surgery | Current | Accepting new patients |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Roper St. Francis Specialty Physicians | Surgery | Current | Accepting new patients |
Locations
316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000
2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555
125 Doughty St
Ste 680
Charleston, SC 29403
Phone (843) 577-6015
125 Doughty St
Ste 660
Charleston, SC 29403
Phone (803) 577-7550
2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747
416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411
Interoperability endpoints
- jhawk1236748@direct.bsmhealth.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Roper St. Francis Physician Partners General Surgery
- Surgery Physician
- Charleston, SC
- NPI 1124431606
-
dba Roper St. Francis Physician Partners Bariatric Surgery
- Surgery Physician
- Ladson, SC
- NPI 1528945912
-
dba Roper St. Francis Physician Partners Neurosurgery and Spine
- Neurological Surgery Physician
- Murrells Inlet, SC
- NPI 1285967018
-
dba Roper St. Francis Physician Partners Charleston OB/GYN
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1811857352
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1962472860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445212800000",
"number": "1538126313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751649",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751649",
"telephone_number": "843-789-1620",
"fax_number": "843-724-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 DOUGHTY ST",
"address_2": "SUITE 660",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294035736",
"telephone_number": "843-577-7550",
"fax_number": "843-853-5588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWK",
"first_name": "J.",
"middle_name": "CHRIS",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2015-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "9036",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "090369",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE ID-RSFPN",
"identifier": "P00727228",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE ID-AFTER 5/1/2009",
"identifier": "P00775511",
"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 Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.