Active NPI
Michael Dennis North Jr., MD
- Family Medicine Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- LL87719
- Practice address
- 135 Cannon Street
Suite 405, MSC 192
Charleston, SC 29425 - Phone
- (843) 876-2912
- NPI assigned
- May 17, 2022
- Last updated
- May 17, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | LL87719 | SC | Primary |
Addresses
Primary practice location
135 Cannon Street
Suite 405, MSC 192
Charleston, SC 29425
Mailing address
169 Ashley Avenue
Room 202, Main Hospital, Msc333
Charleston, SC 29425
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL87719 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Family Medicine | Current | Accepting new patients |
Locations
1101 Waterline St
Charleston, SC 29492
Phone (843) 985-4700
135 Cannon St
Ste 405
Charleston, SC 29425
Phone (843) 792-2575
169 Ashley Ave
Rm 202
Charleston, SC 29425
Phone (843) 792-0192
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
30 Bee St
Ste 210
Charleston, SC 29403
Phone (843) 792-6500
650 Ellis Oak Dr
Charleston, SC 29412
Phone (843) 266-1540
Interoperability endpoints
- mnorth394302@direct.musc.edu
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MUSC Physicians
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
dba MUSC PHysicians
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1073605879
-
dba MUSC Health- Rehabiliation - orangeburg - part of musc medical center
- Rehabilitation Hospital
- Orangeburg, SC
- NPI 1154020147
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1659435840
-
dba MUSC Health - Psychiatry - Orangeburg - part of MUSC Medical Center Ch
- Psychiatric Hospital
- Orangeburg, SC
- NPI 1669171740
-
dba MUSC Health - Orangeburg, part of the MUSC Medical Center - Charleston
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1710683354
-
dba MUSC Health - Orangeburg, part of MUSC Medical Center - CHarleston
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1770280299
-
dba MUSC Health at Home, by BAYADA - Charleston
- Home Health Agency
- Charleston, SC
- NPI 1609310929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1629715099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 ASHLEY AVENUE",
"address_2": "ROOM 202, MAIN HOSPITAL, MSC333",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 CANNON STREET",
"address_2": "SUITE 405, MSC 192",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29425",
"telephone_number": "843-876-2912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTH",
"first_name": "MICHAEL",
"middle_name": "DENNIS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-17",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "LL87719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.