Active NPI
David Pratt Sellman, MD
- Student in an Organized Health Care Education/Training Program
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 52468
- Practice address
- 169 Ashley Ave
Charleston, SC 29425-8905 - Phone
- (843) 792-3072
- NPI assigned
- May 24, 2018
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 52468 | SC | Primary |
Addresses
Primary practice location
169 Ashley Ave
Charleston, SC 29425-8905
Mailing address
169 Ashley Avenue
Room 202 Main Hospital Msc333
Charleston, SC 29425
Phone (843) 792-3072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Medical University of South Carolina College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
710 Lomax St
Jacksonville, FL 32204-4015
Phone (904) 355-6583
Hospital & facility affiliations
- Enhabit Home Health
- Baptist Health Medical Center - Jacksonville
- Ascension St Vincent'S Southside
- Baptist Medical Center Beaches
- HCA Florida Memorial Hospital
- Ascension St Vincent'S Riverside
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 23 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52468 | SC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McIver Urological Clinic | Current | Accepting new patients | |
| Florida Physician Specialists LLC | Current | Accepting new patients | |
| Florida Physician Specialists LLC | Current | Accepting new patients |
Locations
1860 Town Hall Cir
Fleming Island, FL 32003
Phone (904) 520-6800
3627 University Blvd S
Ste 605
Jacksonville, FL 32216
Phone (904) 658-0176
8774 Perimeter Park Blvd
Jacksonville, FL 32216
Phone (904) 642-6100
14540 Old St Augustine Rd
Ste 2401
Jacksonville, FL 32258
Phone (904) 880-4054
836 Prudential Dr
Ste 1502
Jacksonville, FL 32207
Phone (904) 396-5540
710 Lomax St
Jacksonville, FL 32204
Phone (904) 355-6584
710 Lomax St
Ste L
Jacksonville, FL 32204
710 Lomax St
Ste 1
Jacksonville, FL 32204
Phone (904) 483-2310
1577 Roberts Dr
Ste 326
Jacksonville Beach, FL 32250
Phone (904) 270-2706
1658 St Vincents Way
Ste 220
Middleburg, FL 32068
300 Saint Elizabeth Way
Ste 145
St Johns, FL 32259
Interoperability endpoints
- davidsellman@miuc.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Radiation Oncology Physician
- Jacksonville, FL
- NPI 1588917108
-
- Radiation Oncology Physician
- Jacksonville, FL
- NPI 1033544390
-
- Urology Physician
- Jacksonville, FL
- NPI 1922063924
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- Home Health Agency
- Jacksonville, FL
- NPI 1245285303
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1396926747
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1134117575
-
- Clinical Medical Laboratory
- Jacksonville, FL
- NPI 1669556072
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527120000000",
"number": "1770074825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 ASHLEY AVENUE",
"address_2": "ROOM 202 MAIN HOSPITAL MSC333",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29425",
"telephone_number": "843-792-3072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 ASHLEY AVE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258905",
"telephone_number": "843-792-3072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLMAN",
"first_name": "DAVID",
"middle_name": "PRATT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-24",
"last_updated": "2018-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "SC",
"license": "52468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.