Individual provider Active NPI

William C. Carter III, M.D..

  • Urology Physician
  • Charleston, SC
National Provider Identifier
1558348482
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
7869 Issued in SC
Practice address
125 Doughty St
Suite 380
Charleston, SC 29403-5736
Phone
(843) 577-9530
Fax
(843) 805-6240
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 7869 SC Primary

Addresses

Primary practice location

125 Doughty St
Suite 380
Charleston, SC 29403-5736

Mailing address

2687 Lake Park Dr
N Charleston, SC 29406-9100
Phone (843) 577-9530

Other identifiers 1

IdentifierTypeStateIssuer
GP1702MedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060725000111 SC Practitioner - Urology 6204849045 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lowcountry Urology Clinics, PA Urology CurrentSince Aug 7, 2006 Accepting new patients
Lowcountry Urology Clinics PA Urology CurrentSince Aug 7, 2006 Accepting new patients

Locations

125 Doughty St
Ste 380
Charleston, SC 29403
Phone (803) 797-1444

641 Saint Andrews Blvd
Charleston, SC 29407
Phone (843) 577-6015

2687 Lake Park Dr
North Charleston, SC 29406
Phone (843) 572-0097

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1558348482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2687 LAKE PARK DR",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069100",
            "telephone_number": "843-577-9530",
            "fax_number": "843-577-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 DOUGHTY ST",
            "address_2": "SUITE 380",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035736",
            "telephone_number": "843-577-9530",
            "fax_number": "843-805-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "WILLIAM",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D..",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "7869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1702",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.