Charles Sevastos, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34004571S Issued in OH

Practice address

10 Oak Forest Rd Ste C
Bluffton, SC 29910-4974

Phone

(843) 815-3006

Fax

(843) 815-3737

NPI assigned

Oct 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EGDCBD

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.

• Candler ENT Practice, LLC

  • Otolaryngology Physician
  • Savannah, GA
  • NPI 1477969749
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Saint Josephs Medical Group Inc

  • Family Medicine Physician
  • Pembroke, GA
  • NPI 1154349850
  NPD (past)
• St. Joseph'S Cardiology Group, LLC

  • Interventional Cardiology Physician
  • Savannah, GA
  • NPI 1619216058
  NPD (past)

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1629067871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 E. 65TH STREET",
            "address_2": "SUITE 20",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-819-7878",
            "fax_number": "912-819-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 OAK FOREST RD STE C",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104974",
            "telephone_number": "843-815-3006",
            "fax_number": "843-815-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVASTOS",
        "first_name": "CHARLES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34004571S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Armando Selva, DPT
• Lindsay Marie Senalik, D.C.
• Brynn Serbin
• Serene Home Care, LLC
• Serene Medicine LLC
• Jennifer Shattuck, MCD, CCC-SLP
• Sherwood Miler DMD LLC
• Fred Shinn, MPT
• Paul Christopher Shirley, DMD
• Shoals Dialysis LLC

• Family Medicine Physician in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.