Stephanie Jo Carson, AGACNP
Individual provider Active NPI Acute Care Nurse Practitioner · Charleston, SC
NPI 1609379288 · NPPES record last updated Sep 26, 2025
Key facts
- NPI
- 1609379288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 21741 (SC)
- Practice address
- 2085 Henry Tecklenburg Dr
Charleston, SC 29414-7710 - Phone
- (843) 577-6957
- Fax
- (843) 577-6523
- NPI assigned
- Mar 9, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bon Secours St Francis Xavier Hospital Inc
Practice addresses (Care Compare)
2085 Henry Tecklenburg Dr
Charleston, SC 29414-7710
Phone (843) 577-6957
Hospital & facility affiliations
- Bon Secours-St Francis Xavier Hospital
- Mount Pleasant Hospital
- Roper St Francis Hospital-Berkeley Inc
- Roper Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180614002074 | SC | Practitioner - Nurse Practitioner | 3274888250 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21741 | SC | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours St Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Bon Secours St Francis Xavier Hospital, Inc. | Current |
Accepting new patients | |
| Bon Secours St. Francis Xavier Hospital, Inc. | Current |
Accepting new patients |
Locations
125 Doughty St
Ste 500
Charleston, SC 29403
Phone (843) 577-2276
2085 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 577-6957
2085 Henry Tecklenburg Dr
Fl 2
Charleston, SC 29414
Phone (843) 577-6957
Interoperability endpoints
- scarson1252241@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 21741 | SC | Yes |
Addresses
Primary practice location
2085 Henry Tecklenburg Dr
Charleston, SC 29414-7710
Mailing address
PO Box 751874
Charlotte, NC 28275-1874
Phone (843) 402-5200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP5172 | Medicaid | SC |
Other providers in Charleston, SC
- Madison Carroll
- Steven L Carroll
- William Wise Crosby Carroll
- Jennifer Sexton Carson
- Mariana Carson
- James Carswell
- Sandra Leigh Carswell
- Andrea Latrice Carter
- Cindy L Carter
- Dale Scott Carter
All providers in Charleston, SC · Acute Care Nurse Practitioner 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 Sep 26, 2025. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.