Musc Affiliate Physicians
Organization Active NPI Family Medicine Physician · Charleston, SC
NPI 1548849482 · NPPES record last updated May 19, 2021
Key facts
- NPI
- 1548849482
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- MUSC AFFILIATE PHYSICIANS
- Practice address
- 171 Ashley Ave
Charleston, SC 29425-8908 - Phone
- (843) 792-1414
- NPI assigned
- Apr 7, 2021
- Organization subpart
- No
Authorized official
- Name
- Karyn Rae
- Title
- Chair, Payor Relations & Finance
- Phone
- (843) 876-1344
Other NPIs on the same Medicare enrollment 1
Practitioners 138
-
Kori Lynn Adkins, APRN
-
Gabrielle Amarante, DNP
-
Erika Anderson, MD
-
Lisa Marie Baych, M.D.
-
Anita Charie Belue, FNP-C
-
Haley Mae Bizaro, MD
-
Stacey Blazina, D.O.
-
Kevin D. Boyter, N.P.
-
Leon Buffaloe Jr., M.D.
-
Laura Anne Callaham, FNP
-
Kimberly B Dean, MD
-
Scott Dobson, M.D.
-
Charise Ebersole, FNP
-
Chenille Eidson, FNP
-
John Derrick George, D.O.
-
Jesse Machaela Grady, FNP-C
-
Alyssa Raquel Greene, PNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210818002996 | SC | Part B Supplier - Clinic/Group Practice | 6305241027 |
Receives reassigned benefits from 153 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Greer, SC; Spartanburg, SC; Simpsonville, SC; Powdersville, SC; Inman, SC; Greenville, SC; Goose Creek, SC; Charleston, SC |
National Provider Directory
Locations
1871 Savage Rd
Charleston, SC 29407
Phone (843) 766-6308
2 Bella Grove Dr
Greenville, SC 29607
Phone (864) 603-5600
1220 Parkside Acorn Dr
Ste 100
Inman, SC 29349
559 Harrison Bridge Rd
Simpsonville, SC 29680
114B Hospital Dr
Simpsonville, SC 29681
Phone (864) 399-9070
3021 Reidville Rd
Ste C
Spartanburg, SC 29301
2430 Reidville Rd
#A
Spartanburg, SC 29301
3020 Reidville Rd
#C
Spartanburg, SC 29301
Phone (864) 516-1783
2430 Reidville Rd
Spartanburg, SC 29301
Phone (864) 516-1783
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Pediatrics Physician |
208000000X |
Addresses
Primary practice location
171 Ashley Ave
Charleston, SC 29425-8908
Mailing address
PO Box 936934
Atlanta, GA 31193-6934
Phone (843) 792-6200
Other names
- MUSC Affiliate Physicians PCP
Other providers in Charleston, SC
- Miranda Murray
- Patrick James Murray
- Musc
- Musc
- Musc
- Musc Affiliate Physicians
- Musc College of Dental Medicine
- Musc Health
- Musc Health Partners
- Musc Hollings Cancer Center
All providers in Charleston, SC · Family Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.