Individual provider Active NPI

Stuart C King, MD

  • Pain Medicine (Anesthesiology) Physician
  • Daufuskie Island, SC
National Provider Identifier
1790764462
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
036-114407 Issued in IL
Practice address
12 Cedar Cove CT
Daufuskie Island, SC 29915-9043
Phone
(217) 714-9573
NPI assigned
Jan 11, 2006
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036-114407 IL
Pain Medicine (Anesthesiology) Physician 207LP2900X 036-114407 IL Primary

Addresses

Primary practice location

12 Cedar Cove CT
Daufuskie Island, SC 29915-9043

Mailing address

12 Cedar Cove CT
Daufuskie Island, SC 29915-9043

Other identifiers 2

IdentifierTypeStateIssuer
1790764462 1MedicaidIL
P00329841OtherILRAILROAD MEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address skingmd11852@CarleHieDirect.net Direct
Direct Messaging Address sking@sblhs.cernerdirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051122000359 IL Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 1052330818 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-114407ILMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christie Clinic, PLLC CurrentSince Jan 2, 2006 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
American Anesthesiology of South Carolina, LLC Anesthesiology Past Accepting new patients

Locations

101 W University Ave
Champaign, IL 61820
Phone (217) 366-1255

1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

Interoperability endpoints

  • Direct secure messaging: sking@sblhs.cernerdirect.com
  • Direct secure messaging: skingmd11852@carlehiedirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1790764462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CEDAR COVE CT",
            "city": "DAUFUSKIE ISLAND",
            "state": "SC",
            "postal_code": "299159043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CEDAR COVE CT",
            "city": "DAUFUSKIE ISLAND",
            "state": "SC",
            "postal_code": "299159043",
            "telephone_number": "217-714-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "STUART",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2025-07-14",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036-114407",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036-114407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790764462 1",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00329841",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skingmd11852@CarleHieDirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 W University Ave",
            "city": "Champaign",
            "state": "IL",
            "country_code": "US",
            "postal_code": "618203909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sking@sblhs.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1303 W Evergreen Ave Ste 201",
            "city": "Effingham",
            "state": "IL",
            "country_code": "US",
            "postal_code": "624011638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Daufuskie Island, SC

Sources for this page

Verify at the official NPI Registry.