Organization Active NPI

Charrt,Inc.

  • Nephrology Physician
  • Aiken, SC
National Provider Identifier
1730284480
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
15566 Issued in SC
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

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Dr. Stephanie B WoollenNPI 1790780096
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)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X 042002 GA
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
N06701MedicaidSC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.