BHG LXXX, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

BHG LXXX, LLC

Doing business as

BHG Medical Services - South Carolina

Practice address

2301 Cosgrove Ave Ste F
Obot Room #100
North Charleston, SC 29405-7663

Phone

(843) 529-0700

Fax

(843) 529-1681

NPI assigned

Nov 30, 2022

Last updated

Dec 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jay Higham

Title

Ceo

Phone

(214) 365-6112

Specialties & licenses 3

Addresses

Other names 1

• BHG Medical Services - South Carolina Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• BHG LXXX, LLC

  dba BHG Medical Services - South Carolina

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Aiken, SC
  • NPI 1518671395

  O20231011001431

  Same enrollment
• BHG LXXX, LLC

  dba BHG Medical Services - South Carolina

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Spartanburg, SC
  • NPI 1932812039

  O20231011001431

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

BHG LXXX LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• BHG LXXX, LLC

  dba BHG Medical Services - South Carolina

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Aiken, SC
  • NPI 1518671395
  NPD tax ID
• BHG LXXX, LLC

  dba BHG Medical Services - South Carolina

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Spartanburg, SC
  • NPI 1932812039
  NPD tax ID

Practitioners 4

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.

• Brittany S Boyert, FNP

  • Family Nurse Practitioner
  • Charleston, SC
  • NPI 1295334530
  Medicare reassignment NPD
• James Jasper Harber III, M.D.

  • Internal Medicine Physician
  • Spartanburg, SC
  • NPI 1548219819
  Medicare reassignment NPD
• Allen B Jackson, MD

  • Internal Medicine Physician
  • North Charleston, SC
  • NPI 1902866965

  Multi-Specialty

  Medicare reassignment NPD
• Amanda B Salas, M.D.

  • Psychiatry Physician
  • Beaufort, SC
  • NPI 1831128958
  Medicare reassignment NPD

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1659081644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 SPRING VALLEY ROAD",
            "address_2": "SUITE 600 EAST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443946",
            "telephone_number": "214-365-6100",
            "fax_number": "214-365-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 COSGROVE AVE STE F",
            "address_2": "OBOT ROOM #100",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057663",
            "telephone_number": "843-529-0700",
            "fax_number": "843-529-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHG LXXX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "HIGHAM",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-365-6112"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BHG Medical Services - South Carolina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory Louis Beres, PA-C
• Christopher Scott Berman, PHARM.D.
• David John Berndt, PH.D.
• Kaylen Marie Bernota, PA-C
• Sean Betts, OTR/L
• Christopher Biela, MD
• Hannah Kathleen Bieze, RD
• Bioclinical Infusion Services LLC
• Norman L Bishop, D.C.
• Julia Black

• Substance Use Disorder Rehabilitation Clinic/Center in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.