Individual provider Active NPI

Matthew John Milliron, M.D.

  • Anesthesiology Physician
  • Charleston, SC
National Provider Identifier
1639327208
Registry record updated May 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
34692 Issued in SC
Practice address
125 Doughty St
Suite 420
Charleston, SC 29403-5736
Phone
(843) 723-3441
Fax
(843) 805-4040
NPI assigned
Sep 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 34692 SC Primary

Addresses

Primary practice location

125 Doughty St
Suite 420
Charleston, SC 29403-5736

Mailing address

125 Doughty St
Suite 420
Charleston, SC 29403-5736
Phone (843) 723-3441

Other practice location 1

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1436

Other identifiers 1

IdentifierTypeStateIssuer
346922MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20120912000891 SC Practitioner - Anesthesiology 1153579347 Reassigns benefits to 3 organizations
I20200716003723 NC Practitioner - Anesthesiology 1153579347 Reassigns benefits to 1 organization
I20200717002467 VA Practitioner - Anesthesiology 1153579347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Charleston PAGroup PAC ID 4082607361, 38 clinicians
Bon Secours St Francis Xavier Hospital IncGroup PAC ID 8325008717, 202 clinicians

Practice addresses (Care Compare)

1064 Gardner Rd
Suite 112
Charleston, SC 29407-5768
Phone 8437233441551

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1436

Hospital & facility affiliations

  • Mount Pleasant Hospital Hospital, Mount Pleasant, SC, CCN 420104
  • Roper Hospital Hospital, Charleston, SC, CCN 420087

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Charleston, P.a. Anesthesiology CurrentSince Aug 1, 2012 Accepting new patients
Anesthesia Services of Charleston Anesthesiology CurrentSince Sep 1, 2021 Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. Current Accepting new patients
East Carolina Anesthesia Associates, PLLC Anesthesiology CurrentSince Jun 15, 2020 Accepting new patients
Anesthesia Associates of Charleston, P.a. PastSince Jun 21, 2020 Accepting new patients

Locations

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

2080 W Arlington Blvd
Ste B
Greenville, NC 27834
Phone (252) 752-2140

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

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

1064 Gardner Rd
Ste 112
Charleston, SC 29407
Phone (843) 723-3441

1849 Savage Rd
Charleston, SC 29407
Phone (843) 576-2600

125 Doughty St
Ste 420
Charleston, SC 29403
Phone (843) 723-3441

1844 Wallace School Rd
Charleston, SC 29407
Phone (843) 556-2545

229 Clearfield Ave
Ste 200
Virginia Beach, VA 23462
Phone (757) 312-6300

1037 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 491-3535

Organizations & group practices 5

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 2

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": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716076800000",
    "number": "1639327208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 DOUGHTY ST",
            "address_2": "SUITE 420",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035736",
            "telephone_number": "843-723-3441",
            "fax_number": "843-805-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 DOUGHTY ST",
            "address_2": "SUITE 420",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035736",
            "telephone_number": "843-723-3441",
            "fax_number": "843-805-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2095 Henry Tecklenburg Dr",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294145733",
            "country_code": "US",
            "telephone_number": "843-402-1436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLIRON",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2024-05-19",
        "certification_date": "2024-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "34692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346922",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.