NPIMap

Individual provider Active NPI

Robert Matthew Carlile, M.D.

  • Neurology Physician
  • Summerville, SC
National Provider Identifier
1740575307
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
39441 Issued in SC
Practice address
5500 Front St
Suite 230
Summerville, SC 29486-7722
Phone
(843) 569-1856
Fax
(843) 569-1879
NPI assigned
Jun 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 39441 SC Primary

Addresses

Primary practice location

5500 Front St
Suite 230
Summerville, SC 29486-7722

Mailing address

PO Box 530062
Atlanta, GA 30353-0062
Phone (843) 695-6071

Other practice location 1

9313 Medical Plaza Dr
Suite 310
Charleston, SC 29406-9155
Phone (843) 569-1856

Other identifiers 2

IdentifierTypeStateIssuer
394415MedicaidSC
P01728364OtherSCRAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160809001006 SC Practitioner - Neurology 3476847716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Tulane University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PPCP Specialty Physicians , LLCGroup PAC ID 2466723028, 20 clinicians

Practice addresses (Care Compare)

9313 Medical Plaza Dr
Suite 310
Charleston, SC 29406-9197
Phone (843) 695-6071

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, North Charleston, SC, CCN 427035
  • Amedisys Home Health of Charleston Home health agency, North Charleston, SC, CCN 427005
  • Interim Healthcare Home health agency, North Charleston, SC, CCN 427132
  • Trident Medical Center Hospital, Charleston, SC, CCN 420079
  • Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004
  • Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065
  • Roper Hospital Hospital, Charleston, SC, CCN 420087

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Palmetto Primary Care Physicians, LLC Neurology CurrentSince Aug 1, 2016 Accepting new patients
PPCP Specialty Physicians , LLC CurrentSince May 14, 2018 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Aug 1, 2016 Accepting new patients
PPCP Specialty Physicians , LLC Current Accepting new patients
PPCP Specialty Physicians , LLC CurrentSince May 14, 2018 Accepting new patients
PPCP Specialty Physicians, LLC Past Accepting new patients
PPCP Specialty Physicians, LLC Neurology Past Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

776 Daniel Ellis Dr
Ste 1B
Charleston, SC 29412
Phone (843) 795-0300

899 Island Park Dr
Ste 200
Daniel Island, SC 29492
Phone (843) 797-5050

7 S Alliance Dr
Ste 202A
Goose Creek, SC 29445
Phone (843) 376-6070

9313 Medical Plaza Dr
Ste 310
North Charleston, SC 29406
Phone (843) 569-1856

2500 Elms Center Rd
North Charleston, SC 29406
Phone (763) 348-2075

5500 Front St
Ste 230
Summerville, SC 29486
Phone (843) 569-1856

213 W 4th North St
Summerville, SC 29483
Phone (843) 873-0681

201 Sigma Dr
Ste 100
Summerville, SC 29486
Phone (843) 820-3397

Interoperability endpoints

  • Direct secure messaging: robert.carlile@ppcp1.eclinicaldirectplus.com

Organizations & group practices 8

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1307836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1740575307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530062",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530062",
            "telephone_number": "843-695-6071",
            "fax_number": "843-569-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 FRONT ST",
            "address_2": "SUITE 230",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867722",
            "telephone_number": "843-569-1856",
            "fax_number": "843-569-1879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9313 Medical Plaza Dr",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294069155",
            "country_code": "US",
            "telephone_number": "843-569-1856",
            "fax_number": "843-569-1879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLILE",
        "first_name": "ROBERT",
        "middle_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-12",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "39441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "394415",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P01728364",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.