Active NPI
Musc Affiliate Physicians
Doing business as MUSC Affiliate Physicians PCP
- Family Medicine Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MUSC AFFILIATE PHYSICIANS
- Doing business as
- MUSC Affiliate Physicians PCP
- Practice address
- 171 Ashley Ave
Charleston, SC 29425-8908 - Phone
- (843) 792-1414
- NPI assigned
- Apr 7, 2021
- Last updated
- May 19, 2021
- 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
- Karyn Rae
- Title
- Chair, Payor Relations & Finance
- Phone
- (843) 876-1344
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| 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 1
- MUSC Affiliate Physicians PCP
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| 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 |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba MUSC Affiliate Physicians Spec
- Psychiatry Physician
- Charleston, SC
- NPI 1700465648
O20210818002996
National Provider Directory
National Provider DirectoryLocations
1818 Remount Rd
Charleston, SC 29406
Phone (843) 744-6971
105 Springhall Dr
Goose Creek, SC 29445
Phone (843) 766-6308
1220 Parkside Acorn Dr
Ste 100
Inman, SC 29349
1220 Parkside Acorn Dr
Ste 200
Inman, SC 29349
Phone (864) 516-1783
211 Batesville Rd
Simpsonville, SC 29681
312 Harrison Bridge Rd
Ste B
Simpsonville, SC 29680
Phone (864) 603-5600
559 Harrison Bridge Rd
Simpsonville, SC 29680
Phone (864) 715-9390
2430 Reidville Rd
#A
Spartanburg, SC 29301
2430 Reidville Rd
Ste 102103
Spartanburg, SC 29301
3020 Reidville Rd
#B
Spartanburg, SC 29301
Phone (864) 308-8650
3020 Reidville Rd
#C
Spartanburg, SC 29301
Phone (864) 516-1783
3021 Reidville Rd
Ste C
Spartanburg, SC 29301
Practitioners & affiliated clinicians
Practitioners 137
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.
-
- Family Nurse Practitioner
- Greenville, SC
- NPI 1285975391
-
- Pediatric Nurse Practitioner
- Charleston, SC
- NPI 1255979738
-
- Pediatrics Physician
- Simpsonville, SC
- NPI 1891713012
-
- Pediatrics Physician
- Greer, SC
- NPI 1053992172
-
- Family Medicine Physician
- Greenville, SC
- NPI 1124284120
-
- Family Nurse Practitioner
- Inman, SC
- NPI 1700391489
-
- Obstetrics & Gynecology Physician
- Greenville, SC
- NPI 1851911630
-
- Pediatrics Physician
- Greenville, SC
- NPI 1679730915
-
- Family Nurse Practitioner
- Spartanburg, SC
- NPI 1326111998
-
- Internal Medicine Physician
- Simpsonville, SC
- NPI 1366603391
-
- Family Nurse Practitioner
- Greenville, SC
- NPI 1891302352
-
- Family Medicine Physician
- Greenville, SC
- NPI 1174056097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621382400000",
"number": "1548849482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936934",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311936934",
"telephone_number": "843-792-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 ASHLEY AVE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258908",
"telephone_number": "843-792-1414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUSC AFFILIATE PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-07",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A",
"authorized_official_last_name": "RAE",
"authorized_official_first_name": "KARYN",
"authorized_official_title_or_position": "CHAIR, PAYOR RELATIONS & FINANCE",
"authorized_official_telephone_number": "843-876-1344"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MUSC Affiliate Physicians PCP",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MUSC Affiliate Physicians PCP",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 19, 2021; 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.