NPIMap

Individual provider Active NPI

Nathan Lowell Gentry, DO

  • Family Medicine Physician
  • Summerville, SC
National Provider Identifier
1770147332
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
82143 Issued in SC
Practice address
5500 Front St Ste 240
Summerville, SC 29486-8140
Phone
(854) 220-9995
Fax
(854) 220-0054
NPI assigned
Apr 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 82143 SC Primary

Addresses

Primary practice location

5500 Front St Ste 240
Summerville, SC 29486-8140

Mailing address

PO Box 530062
Atlanta, GA 30353-0062
Phone (854) 220-9995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210804000924 SC Practitioner - Family Practice 3173854817 Reassigns benefits to 2 organizations
I20250201000244 NC Practitioner - Internal Medicine 3173854817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

3030 Randolph Rd
Charlotte, NC 28211-1368
Phone (704) 512-5000

Hospital & facility affiliations

  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc Family Medicine Current Accepting new patients
Carolinas Physicians Network Inc Family Medicine CurrentSince Jan 6, 2025 Accepting new patients
Lexington Health Inc CurrentSince Jul 1, 2021 Accepting new patients
Palmetto Primary Care Physicians, LLC Family Medicine Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Lexington Health Inc CurrentSince Jul 1, 2021 Accepting new patients
Palmetto Primary Care Physicians, LLC Family Medicine CurrentSince Oct 23, 2023 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 6, 2025 Accepting new patients
Palmetto Primary Care Physicians, LLC Family Medicine CurrentSince Oct 23, 2023 Accepting new patients
Carolinas Physicians Network, Inc Family Medicine Past Accepting new patients
Sutter Bay Medical Foundation PastSince Oct 1, 2022 Accepting new patients

Locations

3030 Randolph Rd
Charlotte, NC 28211
Phone (704) 512-4420

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

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

338 E Columbia Ave
Leesville, SC 29070
Phone (803) 332-4300

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

5500 Front St
Ste 240
Summerville, SC 29486
Phone (854) 220-9995

935 W 2nd St
Swansea, SC 29160
Phone (803) 568-2000

Interoperability endpoints

  • Direct secure messaging: ngentry2941846@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: ngentry155435@ehr.johnmuirhealth.com

Organizations & group practices 11

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 6

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

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1770147332",
    "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": "854-220-9995",
            "fax_number": "854-220-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 FRONT ST STE 240",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294868140",
            "telephone_number": "854-220-9995",
            "fax_number": "854-220-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "NATHAN",
        "middle_name": "LOWELL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "82143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.