Active NPI
Caroline Campelo Smith, MD
- Physical Medicine & Rehabilitation Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD93142
- Practice address
- 171 Ashley Ave
Charleston, SC 29425-7208 - Phone
- (843) 792-1414
- Fax
- (843) 792-3674
- NPI assigned
- Jun 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | BP10061202 | TX | |
| Physical Medicine & Rehabilitation Physician | 208100000X | MD93142 | SC | Primary |
Addresses
Primary practice location
171 Ashley Ave
Charleston, SC 29425-7208
Mailing address
96 Jonathan Lucas St Ste 708
Charleston, SC 29425-8900
Phone (843) 792-8105
Other names 1
- Caroline Campelo Feres
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.musc.edu | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- 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
- Physical Medicine and Rehabilitation
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414
Hospital & facility affiliations
- Musc Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.02 of 100
- Quality
- 62.41
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD93142 | SC | MD | Physical Medicine & Rehabilitation Physician |
| BP10061202 | TX | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| Premier Provider Health PA | Past | Accepting new patients |
Locations
96 Jonathan Lucas St
Ste 708
Charleston, SC 29425
Phone (843) 792-2222
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
Interoperability endpoints
- csmith72401@direct.phhs.org
- csmith500129@direct.musc.edu
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.
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1700032745
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1073605879
-
- Rehabilitation Hospital
- Orangeburg, SC
- NPI 1154020147
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1659435840
-
- Psychiatric Hospital
- Orangeburg, SC
- NPI 1669171740
-
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1710683354
-
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1770280299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1780113605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 JONATHAN LUCAS ST STE 708",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258900",
"telephone_number": "843-792-8105",
"fax_number": "843-792-3674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 ASHLEY AVE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294257208",
"telephone_number": "843-792-1414",
"fax_number": "843-792-3674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CAROLINE",
"middle_name": "CAMPELO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-05",
"last_updated": "2024-09-23",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "BP10061202",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "SC",
"license": "MD93142",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.musc.edu",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "171 Ashley Ave",
"city": "Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294257208",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CAROLINE",
"last_name": "FERES",
"middle_name": "CAMPELO",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 23, 2024; 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.