Active NPI
Charles P Stroup, MD
- Family Medicine Physician
- Gaffney, SC
National Provider Identifier
1669429585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 7483
- Practice address
- 722 Hyatt St
Gaffney, SC 29341-2643 - Phone
- (864) 489-2400
- Fax
- (864) 488-3987
- NPI assigned
- May 27, 2006
- Last updated
- Mar 31, 2015
- 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 | 7483 | SC | Primary |
Addresses
Primary practice location
722 Hyatt St
Gaffney, SC 29341-2643
Mailing address
PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 074831 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7483 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Family Medicine | Past | Accepting new patients |
| Novant Health Medical Group, LLC | Past | Accepting new patients | |
| Mary Black Health System LLC | Past | Accepting new patients |
Organizations & group practices 3
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 Mary Black Health System Spartanburg
- Psychiatric Hospital Unit
- Spartanburg, SC
- NPI 1992758296
-
dba Novant Health Indian Land Primary Care
- Family Medicine Physician
- Indian Land, SC
- NPI 1245335421
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427760000000",
"number": "1669429585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743070",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743070",
"telephone_number": "864-560-4304",
"fax_number": "864-560-4413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 HYATT ST",
"city": "GAFFNEY",
"state": "SC",
"postal_code": "293412643",
"telephone_number": "864-489-2400",
"fax_number": "864-488-3987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROUP",
"first_name": "CHARLES",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2015-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "7483",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "074831",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gaffney, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.