Individual provider Active NPI

Joshua Visserman, M.D.

  • Family Medicine Physician
  • Charleston, SC
National Provider Identifier
1588198782
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41116 Issued in SC
Practice address
96 Jonathan Lucas St # He122
Charleston, SC 29425-2638
Phone
(843) 876-9686
Fax
(843) 985-9747
NPI assigned
Apr 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 41116 SC Primary

Addresses

Primary practice location

96 Jonathan Lucas St # He122
Charleston, SC 29425-2638

Mailing address

96 Jonathan Lucas St CSB He122, Msc640
Charleston, SC 29425-8900
Phone (843) 876-9686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201123000035 NC Practitioner - Family Practice 4789933870
I20210902000179 SC Practitioner - Family Practice 4789933870 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414

Hospital & facility affiliations

  • Musc Health at Home, by Bayada- Charleston Home health agency, Charleston, SC, CCN 427004
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004

Merit-based Incentive Payment System (MIPS)

Final score
79.02 of 100Reported as group
Quality
62.41
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue467
Removal of skin lesions69
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41116SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol CurrentSince Jun 1, 2022 Accepting new patients
Carolina Family Care, Inc Family Medicine CurrentSince Aug 12, 2021 Accepting new patients
University Medical Associates of the Medical University of South Carol Family Medicine CurrentSince Jun 1, 2022 Accepting new patients
Carolina Family Care, Inc Family Medicine CurrentSince Aug 12, 2021 Accepting new patients

Locations

96 Jonathan Lucas St
#122
Charleston, SC 29425
Phone (843) 876-9686

30 Bee St
#2100
Charleston, SC 29403
Phone (843) 792-6500

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

490 Martello Dr
Charleston, SC 29412
Phone (843) 762-4963

1208 Two Island Ct
Mt Pleasant, SC 29466
Phone (843) 884-6653

9228 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 876-7080

Interoperability endpoints

  • Direct secure messaging: jvisserman73862@direct.musc.edu

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1588198782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 JONATHAN LUCAS ST CSB HE122, MSC640",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258900",
            "telephone_number": "843-876-9686",
            "fax_number": "843-985-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 JONATHAN LUCAS ST # HE122",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294252638",
            "telephone_number": "843-876-9686",
            "fax_number": "843-985-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISSERMAN",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-13",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "41116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.