NPIMap

Individual provider Active NPI

Claudius Stuart Dawson III, M.D.

  • Family Medicine Physician
  • Summerville, SC
National Provider Identifier
1780675306
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26671 Issued in SC
Practice address
213 W 4TH North St
Summerville, SC 29483-6541
Phone
(843) 873-0681
Fax
(843) 873-2749
NPI assigned
Nov 2, 2005
Last updated
Jul 6, 2021By the provider in NPPES
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
Family Medicine Physician 207Q00000X 26671 SC Primary

Addresses

Primary practice location

213 W 4TH North St
Summerville, SC 29483-6541

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
266713MedicaidSC

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
I20040928000316 SC Practitioner - Family Practice 0648249508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Liberty Doctors LLCGroup PAC ID 0840466017, 44 clinicians

Practice addresses (Care Compare)

100 Springhall Dr
Goose Creek, SC 29445-5335
Phone (843) 572-8201

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26671SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC Family Medicine Current Accepting new patients
Palmetto Primary Care Physicians,LLC Family Medicine CurrentSince Dec 7, 2009 Accepting new patients
Palmetto Primary Care Physicians, LLC Family Medicine CurrentSince Dec 7, 2009 Accepting new patients
Liberty Doctors, LLC Family Medicine CurrentSince May 1, 2022 Accepting new patients
Palmetto Primary Care Physicians, LLC Family Medicine Current Accepting new patients
Liberty Doctors LLC Family Medicine CurrentSince May 1, 2022 Accepting new patients
Covenant Counseling of South Carolina PastSince Jun 12, 2009 Accepting new patients
Liberty Doctors LLC Past Accepting new patients
Lowcountry Medical Associates Past Accepting new patients
Synergy Counseling Services LLC Family Medicine PastSince Jan 1, 2024 Accepting new patients

Locations

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

418 Folly Rd
#A
Charleston, SC 29412
Phone (843) 225-8320

100 Springhall Dr
Goose Creek, SC 29445
Phone (843) 572-8201

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

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

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

300 W 4th North St
Summerville, SC 29483
Phone (843) 285-7515

435 N Cedar St
Summerville, SC 29483
Phone (843) 873-1592

809 N Cedar St
Summerville, SC 29483
Phone (843) 851-9440

Interoperability endpoints

  • Direct secure messaging: cdawson@libertydoctors.ssdirect.aprima.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1780675306",
    "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": "843-569-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W 4TH NORTH ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836541",
            "telephone_number": "843-873-0681",
            "fax_number": "843-873-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "CLAUDIUS",
        "middle_name": "STUART",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "26671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266713",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.