Active NPI
Charrt,Inc.
- Nephrology Physician
- Aiken, SC
National Provider Identifier
1730284480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 15566
- Legal business name
- CHARRT,INC.
- Practice address
- 191 Centre South Blvd
Aiken, SC 29803-6313 - Phone
- (803) 642-4045
- Fax
- (803) 642-4041
- NPI assigned
- Sep 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephanie B Woollen
- Title
- President
- Phone
- (706) 724-4045
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 042002 | GA | |
| Nephrology Physician | 207RN0300X | 15566 | SC | Primary |
Addresses
Primary practice location
191 Centre South Blvd
Aiken, SC 29803-6313
Mailing address
820 Saint Sebastian Way
Suite 5a
Augusta, GA 30901-2643
Phone (706) 724-4045
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N06701 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
820 Saint Sebastian Way
Ste 5A
Augusta, GA 30901
Phone (706) 722-4378
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Georgetown, SC
- NPI 1790780096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191888000000",
"number": "1730284480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 SAINT SEBASTIAN WAY",
"address_2": "SUITE 5A",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012643",
"telephone_number": "706-724-4045",
"fax_number": "706-724-4041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 CENTRE SOUTH BLVD",
"city": "AIKEN",
"state": "SC",
"postal_code": "298036313",
"telephone_number": "803-642-4045",
"fax_number": "803-642-4041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARRT,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2007-10-09",
"status": "A",
"authorized_official_last_name": "WOOLLEN",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "706-724-4045",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "GA",
"license": "042002",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "SC",
"license": "15566",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N06701",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.