Active NPI
Charles Joseph Nivens, MD
- Physical Medicine & Rehabilitation Physician
- Bluffton, SC
National Provider Identifier
1801898432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 18439
- Practice address
- 3 Plantation Park Drive
Bluffton, SC 29910 - Phone
- (843) 705-7471
- Fax
- (843) 705-7475
- NPI assigned
- Aug 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 18439 | SC | Primary |
Addresses
Primary practice location
3 Plantation Park Drive
Bluffton, SC 29910
Mailing address
19 Rose Hill Dr
Bluffton, SC 29910-4720
Phone (843) 705-7471
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 184393 | Medicaid | SC |
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
- Medical College of Georgia School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3 Plantation Park Dr
Bluffton, SC 29910-6035
Phone 843705747122
Hospital & facility affiliations
- Coastal Carolina Hospital
- Novant Health Hilton Head Medical Center
- Colleton Medical Center
- Hampton Regional Medical Center
- Beaufort County Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles J. Nivens, MD PA | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Lowcountry Surgical Associates, PA | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
3 Plantation Park Dr
Bluffton, SC 29910
Phone (843) 705-7471
1000 Pine St W
Varnville, SC 29944
Phone (803) 943-5228
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFEEAA
- https://fhir4.healow.com/fhir/r4/IJBGAD
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.
-
- Specialist
- Walterboro, SC
- NPI 1821277815
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
-
- Rural Acute Care Hospital
- Varnville, SC
- NPI 1487651949
-
- General Acute Care Hospital
- Hilton Head Island, SC
- NPI 1902675101
-
- General Acute Care Hospital
- Hardeeville, SC
- NPI 1205605409
-
- General Acute Care Hospital
- Walterboro, SC
- NPI 1376597997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450742400000",
"number": "1801898432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 ROSE HILL DR",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299104720",
"telephone_number": "843-705-7471",
"fax_number": "843-705-7475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 PLANTATION PARK DRIVE",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "29910",
"telephone_number": "843-705-7471",
"fax_number": "843-705-7475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIVENS",
"first_name": "CHARLES",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2015-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "SC",
"license": "18439",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "184393",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.