Individual provider Active NPI

Charles F Way, MD

  • Family Medicine Physician
  • Easley, SC
National Provider Identifier
1679589451
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12892 Issued in SC
Practice address
810 Powdersville Rd Ste B
Easley, SC 29642-3704
Phone
(864) 729-1029
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12892 SC Primary

Addresses

Primary practice location

810 Powdersville Rd Ste B
Easley, SC 29642-3704

Mailing address

810 Powdersville Rd Ste B
Easley, SC 29642-3704
Phone (864) 729-1029

Other identifiers 1

IdentifierTypeStateIssuer
128926MedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080417000004 SC Practitioner - Family Practice 7517945769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

810 Powdersville Rd
Suite B
Easley, SC 29642-3704
Phone (864) 551-2764

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Primary Care Medicine LLC Family Medicine CurrentSince Feb 19, 2024 Accepting new patients
Harleyville Family Medicine Current Accepting new patients
Family Diagnostic Associates, P.a. Current Accepting new patients
Family Diagnostics, LLC PastSince Jan 1, 2004 Accepting new patients

Locations

922 Holly St
Holly Hill, SC 29059
Phone (803) 496-7174

810 Powdersville Rd
Ste B
Powdersville, SC 29642
Phone (864) 551-2764

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1679589451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 POWDERSVILLE RD STE B",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296423704",
            "telephone_number": "864-729-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 POWDERSVILLE RD STE B",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296423704",
            "telephone_number": "864-729-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAY",
        "first_name": "CHARLES",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "12892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128926",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.