Charlie Carrouth

Individual provider Active NPI Case Manager/Care Coordinator · Spartanburg, SC

NPI 1750199790 · NPPES record last updated Dec 23, 2024

Key facts

NPI
1750199790
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
325 S Church St
Spartanburg, SC 29306-5231
Phone
(864) 582-5431
NPI assigned
Dec 23, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
New Day, Inc. of Spartanburg Past
since Dec 29, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

325 S Church St
Spartanburg, SC 29306-5231

Mailing address

PO Box 1869
Spartanburg, SC 29304-1869

Other providers in Spartanburg, SC

All providers in Spartanburg, SC · Case Manager/Care Coordinator in South Carolina

Sources for this page

Verify at the official NPI Registry.