NPIMap

Organization Active NPI

Urology Associates of Charleston LLC

  • Urology Physician
  • Mount Pleasant, SC
National Provider Identifier
1699474205
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROLOGY ASSOCIATES OF CHARLESTON LLC
Practice address
1122 Chuck Dawley Blvd Ste 200
Mount Pleasant, SC 29464-4183
Phone
(843) 884-8045
NPI assigned
Mar 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Jonathan Donaldson, MDNPI 1881693026
Title
Partner
Phone
(843) 884-8045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

1122 Chuck Dawley Blvd Ste 200
Mount Pleasant, SC 29464-4183

Mailing address

PO Box 7927
Mobile, AL 36670-0927

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230508000400 SC Part B Supplier - Clinic/Group Practice 4082079496 Receives reassigned benefits from 13 practitioners
Practice locations: Charleston, SC; Mt Pleasant, SC; Summerville, SC

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2283013Urology Associates of Charleston, LLC1122 Chuck Dawley Blvd, Suite 200, Mount Pleasant, SC 29464ComplianceJul 31, 2027

National Provider Directory

National Provider Directory

Locations

2093 Henry Tecklenburg Dr
Ste 31
Charleston, SC 29414

2093 Henry Tecklenburg Dr
Ste 318
Charleston, SC 29414

2093 Henry Tecklenburg Dr
#318E
Charleston, SC 29414

1122 Chuck Dawley Blvd
Ste 200
Mt Pleasant, SC 29464

Interoperability endpoints

  • Direct secure messaging: brittanyfowler@uacharleston.allscriptsdirect.net
  • Direct secure messaging: jonathandonaldson@uacharleston.allscriptsdirect.net
  • Direct secure messaging: adelecomite@uacharleston.allscriptsdirect.net
  • Direct secure messaging: maryjames@uacharleston.allscriptsdirect.net
  • Direct secure messaging: alisonbondell@uacharleston.allscriptsdirect.net
  • Direct secure messaging: stephenschwade@uacharleston.allscriptsdirect.net
  • Direct secure messaging: stanleyhall@uacharleston.allscriptsdirect.net
  • Direct secure messaging: stephenpatrick@uacharleston.allscriptsdirect.net
  • Direct secure messaging: jonathanpicard@uacharleston.allscriptsdirect.net
  • Direct secure messaging: tracytipton@uacharleston.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1699474205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7927",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366700927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 CHUCK DAWLEY BLVD STE 200",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644183",
            "telephone_number": "843-884-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY ASSOCIATES OF CHARLESTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "843-884-8045",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.