Individual provider Active NPI

Adam Mandel, D.O.

  • Emergency Medicine Physician
  • Lawrence, MA
National Provider Identifier
1629077052
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
153440 Issued in MA
Practice address
1 General St
Lawrence, MA 01841-2997
Phone
(978) 683-4000
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 912 SC
Emergency Medicine Physician 207P00000X 153440 MA Primary

Addresses

Primary practice location

1 General St
Lawrence, MA 01841-2997

Mailing address

PO Box 602645
Charlotte, NC 28260-2645
Phone (843) 789-1620

Other practice location 1

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1037

Other identifiers 1

IdentifierTypeStateIssuer
009127MedicaidSC

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
I20050602000451 SC Practitioner - Emergency Medicine 1759324619 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaufort County Memorial HospitalGroup PAC ID 7810809365, 197 clinicians

Practice addresses (Care Compare)

989 Ribaut Rd
Suite 220
Beaufort, SC 29902-5481
Phone (843) 524-8171

Hospital & facility affiliations

  • Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue61
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
153440MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roper St. Francis Mount Pleasant Hospital CurrentSince Nov 8, 2020 Accepting new patients
Roper St. Francis Mount Pleasant Hospital Emergency Medicine CurrentSince Nov 8, 2020 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Jul 6, 2025 Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. CurrentSince Apr 25, 2012 Accepting new patients
Roper St. Francis Mount Pleasant Hospital Current Accepting new patients
Healogics Specialty Physicians of South Carolina, LLC CurrentSince Jul 1, 2023 Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. Emergency Medicine CurrentSince Apr 25, 2012 Accepting new patients
Broad River Physicians Group, LLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Beaufort County Memorial Hospital Emergency Medicine CurrentSince Jul 6, 2025 Accepting new patients
Healogics Specialty Physicians of South Carolina, LLC CurrentSince Jul 1, 2023 Accepting new patients
Roper Hospital Inc. CurrentSince Nov 8, 2020 Accepting new patients
Roper Hospital Inc Emergency Medicine CurrentSince Nov 8, 2020 Accepting new patients
Acs Emergency Physicians of SC PC Emergency Medicine CurrentSince Mar 1, 2012 Accepting new patients
Beaufort County Memorial Hospital Current Accepting new patients
Roper Hospital Inc Emergency Medicine Current Accepting new patients
Nason Medical Center V, LLC Past Accepting new patients
Nason Medical Center II, LLC Past Accepting new patients
Coastal Carolina Multispecialty Associates, LLC Past Accepting new patients
Brockton Hospital, Inc. Past Accepting new patients
Nason Medical Center IV, LLC Past Accepting new patients
Nason Medical Center III, LLC Past Accepting new patients
Robertson Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

989 Ribaut Rd
Ste 220
Beaufort, SC 29902
Phone (843) 522-5300

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859

200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200

19 Moss Creek Vlg
Hilton Head Island, SC 29926
Phone (843) 706-0600

3500 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 606-7000

1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600

100 Callen Blvd
Summerville, SC 29486
Phone (845) 529-3165

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 1

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1629077052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602645",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602645",
            "telephone_number": "843-789-1620",
            "fax_number": "843-724-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENERAL ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412997",
            "telephone_number": "978-683-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2095 Henry Tecklenburg Dr",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294145733",
            "country_code": "US",
            "telephone_number": "843-402-1037",
            "fax_number": "843-402-1295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDEL",
        "first_name": "ADAM",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "912",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "153440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009127",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.