Individual provider Active NPI

Charles Stewart Jervey, M. D.

  • Neurology Physician
  • Greenville, SC
National Provider Identifier
1801865365
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101268933 Issued in VA
Practice address
200 Patewood Dr Ste B350
Greenville, SC 29615-6337
Phone
(864) 454-4500
Fax
(864) 454-4505
NPI assigned
Mar 16, 2006
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 15014 SC
Neurology Physician 2084N0400X 0101268933 VA Primary
Neurology Physician 2084N0400X 84627 GA
Neurology Physician 2084N0400X 2020001526 MO

Addresses

Primary practice location

200 Patewood Dr Ste B350
Greenville, SC 29615-6337

Mailing address

1 Independence PT Ste 212
Greenville, SC 29615-4536
Phone (864) 797-6307

Other practice location 1

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000

Other practice location 2

12200 Warwick Blvd Ste 110
Newport News, VA 23601-2344
Phone (757) 534-5100

Other practice location 3

301 Riverview Ave Ste 202A
Norfolk, VA 23510-1065
Phone (757) 252-9015

Other practice location 4

125 Doughty St
Suite 460
Charleston, SC 29403-5736
Phone (843) 723-0202

Other identifiers 2

IdentifierTypeStateIssuer
200080119MedicaidMO
150142MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, VA, WV, VT, GA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20110510000676 SC Practitioner - Neurology 5799751921 Reassigns benefits to 3 organizations
I20200420002296 VA Practitioner - Neurology 5799751921 Reassigns benefits to 1 organization
I20231006002000 WV Practitioner - Hospitalist 5799751921 Reassigns benefits to 1 organization
I20250626001754 VT Practitioner - Neurology 5799751921 Reassigns benefits to 2 organizations
I20251216002164 GA Practitioner - Neurology 5799751921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Medical University of South Carolina College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

12200 Warwick Blvd
Suite 110
Newport News, VA 23601-2344
Phone (757) 534-5100

3000 Hospital Blvd
Roswell, GA 30076-4915
Phone (770) 751-2912

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.91 of 100Reported as apm
Quality
92.86
Promoting interoperability
94.93
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc CurrentSince Apr 13, 2020 Accepting new patients
Roper Hospital, Inc. Current Accepting new patients
Roper Hospital Inc. CurrentSince Jan 1, 2016 Accepting new patients
United Physicians Care Inc Neurology CurrentSince Sep 18, 2023 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince Dec 1, 2025 Accepting new patients
Carolina Neurological Clinic, L.L.P. Neurology CurrentSince Aug 1, 1994 Accepting new patients
Bon Secours St. Francis Xavier Hosptial, Inc. Neurology CurrentSince Jan 1, 2016 Accepting new patients
Windsor Hospital Corporation CurrentSince Jun 1, 2025 Accepting new patients
Riverside Physician Services, Inc. Neurology CurrentSince Apr 13, 2020 Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. Current Accepting new patients
Windsor Hospital Corporation CurrentSince Jun 1, 2025 Accepting new patients
United Physicians Care Inc CurrentSince Sep 18, 2023 Accepting new patients
Windsor Hospital Corporation CurrentSince Sep 18, 2025 Accepting new patients
Roper Hospital, Inc. Neurology CurrentSince Jan 1, 2016 Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. CurrentSince Jan 1, 2016 Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

125 Doughty St
Ste 460
Charleston, SC 29403
Phone (803) 723-0202

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

3531 Mary Ader Ave
Ste A
Charleston, SC 29414
Phone (843) 556-1300

416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411

12200 Warwick Blvd
Ste 110
Newport News, VA 23601
Phone (757) 534-5100

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

289 County Rd
Windsor, VT 05089
Phone (802) 674-7220

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

626 Elk St
Gassaway, WV 26624
Phone (304) 364-2401

2373 W Main St
Ste 102
Salem, WV 26426
Phone (304) 782-2000

Interoperability endpoints

  • Direct secure messaging: charlesjervey@carolinaneurologicalclinic.ssdirect.aprima.com
  • Direct secure messaging: cjervey143759@direct.rivhs.com
  • Direct secure messaging: cjervey622849@direct.dartmouth-hitchcock.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 5

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1801865365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT STE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154536",
            "telephone_number": "864-797-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PATEWOOD DR STE B350",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156337",
            "telephone_number": "864-454-4500",
            "fax_number": "864-454-4505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300467694",
            "country_code": "US",
            "telephone_number": "678-312-1000",
            "fax_number": "678-312-3282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12200 Warwick Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236012344",
            "country_code": "US",
            "telephone_number": "757-534-5100",
            "fax_number": "757-534-5395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Riverview Ave Ste 202A",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235101065",
            "country_code": "US",
            "telephone_number": "757-252-9015",
            "fax_number": "757-510-9041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Doughty St",
            "address_2": "Suite 460",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294035736",
            "country_code": "US",
            "telephone_number": "843-723-0202",
            "fax_number": "843-723-1052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JERVEY",
        "first_name": "CHARLES",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "15014",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101268933",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "84627",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2020001526",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200080119",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150142",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.