Charleston Thyroid Center, LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

CHARLESTON THYROID CENTER, LLC

Practice address

1054 Johnnie Dodds Blvd Ste a
Mount Pleasant, SC 29464-3153

Phone

(843) 388-7545

Fax

(843) 388-5548

NPI assigned

May 3, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Brittany Bohinc Henderson

Title

Owner/MD

Phone

(843) 388-7545

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lindsey Tucker, FNP

  • Family Nurse Practitioner
  • Joplin, MO
  • NPI 1346899671

  Endocrinology, Diabetes & Metabolism, SC

  Medicare reassignment NPD
• Nicole Marie McDermott, PA-C

  • Medical Physician Assistant
  • Bethpage, NY
  • NPI 1811918345

  SC

  Medicare reassignment
• Meredith Elise Osborne

  • Physician Assistant
  • Mount Pleasant, SC
  • NPI 1881244614
  NPD
• Erin Stavrakas, DNP, FNP-C, APRN

  • Nurse Practitioner
  • Mt Pleasant, SC
  • NPI 1417670761
  NPD
• Olivia Blair Crimmins, PA-C

  • Physician Assistant
  • Mt Pleasant, SC
  • NPI 1982274775
  NPD (past)
• Jaime L Ginney, PA-C, MPH

  • Physician Assistant
  • Cincinnati, OH
  • NPI 1447268388
  NPD (past)

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1548759780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 JOHNNIE DODDS BLVD STE A",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643153",
            "telephone_number": "843-388-7545",
            "fax_number": "843-388-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 JOHNNIE DODDS BLVD STE A",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643153",
            "telephone_number": "843-388-7545",
            "fax_number": "843-388-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON THYROID CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "BOHINC",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "843-388-7545",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charleston Pathology PA
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• Charleston Seniors, LLC
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• Charleston Vamc
• Charleston Vascular Surgery, P.C.
• Charleston Wound Care Center LLC
• Charleston-Amg Specialty Hospital, Inc.

• All providers in Mount Pleasant, SC
• Endocrinology, Diabetes & Metabolism Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.