NPIMap

Organization Active NPI

Carolina Family Care, Inc

Doing business as MUSC Physicians Coosaw Internal Medicine

  • Internal Medicine Physician
  • North Charleston, SC
National Provider Identifier
1649533662
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CAROLINA FAMILY CARE, INC
Doing business as
MUSC Physicians Coosaw Internal Medicine
Practice address
8992 University Blvd
Suite 300
North Charleston, SC 29406-8104
Phone
(843) 876-8279
Fax
(843) 876-1649
NPI assigned
Jun 25, 2012
Last updated
Jan 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Authorized official

Name
Karyn Rae
Title
Manager
Phone
(843) 876-1344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

8992 University Blvd
Suite 300
North Charleston, SC 29406-8104

Mailing address

PO Box 602108
Charlotte, NC 28260-2108
Phone (843) 792-6200

Other names 1

  • MUSC Physicians Coosaw Internal Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120828000616 SC Part B Supplier - Clinic/Group Practice 4587557731 Receives reassigned benefits from 34 practitioners
1 other NPI on this enrollment
Practice locations: North Charleston, SC

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1 Poston Rd
Charleston, SC 29407

194 Spring St
Charleston, SC 29403
Phone (843) 754-6940

2075 Charlie Hall Blvd
#B
Charleston, SC 29414
Phone (843) 876-3157

30 Bee St
Ste 2100
Charleston, SC 29403
Phone (843) 792-6500

490 Martello Dr
Charleston, SC 29412
Phone (843) 762-4963

1 Medical Park Dr
Ste 4B
Chester, SC 29706
Phone (803) 581-2300

1594 Freedom Blvd
Ste C305
Florence, SC 29505
Phone (843) 669-0927

805 Pamplico Hwy
Ste 220
Florence, SC 29505

805 Pamplico Hwy
Ste 300
Florence, SC 29505
Phone (843) 679-2760

3351 Maybank Hwy
Johns Island, SC 29455
Phone (843) 985-6292

802 W Meeting St
Lancaster, SC 29720

1440 Ben Sawyer Blvd
Ste 1111
Mount Pleasant, SC 29464

1600 Midtown Ave
Mt Pleasant, SC 29464
Phone (843) 284-6555

200 Ports Authority Dr
Mt Pleasant, SC 29464
Phone (843) 876-1560

8417 Dorchester Rd
North Charleston, SC 29420

8992 University Blvd
Ste 300N
North Charleston, SC 29406

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1649533662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602108",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8992 UNIVERSITY BLVD",
            "address_2": "SUITE 300",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294068104",
            "telephone_number": "843-876-8279",
            "fax_number": "843-876-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FAMILY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "RAE",
        "authorized_official_first_name": "KARYN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "843-876-1344"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MUSC Physicians Coosaw Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MUSC Physicians Coosaw Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.