Active NPI
Charles Stuart Simko, M.D.
- Pediatrics Physician
- Greer, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 30172
- Practice address
- 106 Physicians Dr
Greer, SC 29650-2445 - Phone
- (864) 797-9100
- Fax
- (864) 241-9239
- NPI assigned
- Jun 28, 2007
- Last updated
- May 13, 2021
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 30172 | SC | Primary |
Addresses
Primary practice location
106 Physicians Dr
Greer, SC 29650-2445
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
890 S Pleasantburg Dr
Greenville, SC 29607-2455
Phone (864) 271-1450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 301729 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | csimko7257@direct.ghs.myhfn.org | Direct |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30172 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Greenville Health System | Current | Accepting new patients | |
| Prisma Health University Medical Group | Pediatrics | Current | Accepting new patients |
| Greenville Health System | Current | Accepting new patients |
Locations
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
890 S Pleasantburg Dr
Greenville, SC 29607
Phone (864) 271-1450
106 Physicians Dr
Greer, SC 29650
Phone (864) 797-9100
719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000
807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132
Interoperability endpoints
- csimko7257@direct.ghs.myhfn.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba GHS Patewood Memorial Hospital
- General Acute Care Hospital
- Greenville, SC
- NPI 1568532513
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
Pediatrics
-
dba GHS Patewood Op Center BLDG a
- General Acute Care Hospital
- Greenville, SC
- NPI 1225453269
-
dba Parkside OB-GYN
- Gynecology Physician
- Greer, SC
- NPI 1003619313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1700083375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 PHYSICIANS DR",
"city": "GREER",
"state": "SC",
"postal_code": "296502445",
"telephone_number": "864-797-9100",
"fax_number": "864-241-9239"
}
],
"practiceLocations": [
{
"address_1": "890 S Pleasantburg Dr",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296072455",
"country_code": "US",
"telephone_number": "864-271-1450",
"fax_number": "864-271-3914",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMKO",
"first_name": "CHARLES",
"middle_name": "STUART",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-28",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "30172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "301729",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "csimko7257@direct.ghs.myhfn.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "csimko7257@direct.ghs.myhfn.org",
"address_1": "106 Physicians Dr",
"city": "Greer",
"state": "SC",
"country_code": "US",
"postal_code": "296502445",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.