Individual provider Active NPI

Elizabeth Norene Dacus, MD

  • Obstetrics & Gynecology Physician
  • North Charleston, SC
National Provider Identifier
1821013632
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
28758 Issued in SC
Practice address
9279 Medical Plaza Dr Ste a
North Charleston, SC 29406-9141
Phone
(843) 569-2900
Fax
(843) 569-7752
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 28758 SC Primary

Addresses

Primary practice location

9279 Medical Plaza Dr Ste a
North Charleston, SC 29406-9141

Mailing address

9279 Medical Plaza Dr Ste a
North Charleston, SC 29406-9141
Phone (843) 569-2900

Other identifiers 2

IdentifierTypeStateIssuer
28758OtherSCSTATE LICENSE
287585MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ELIZABETH.DACUS@hca5.eclinicaldirectplus.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060925000515 SC Practitioner - Obstetrics/Gynecology 6002811049 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical University of South Carolina College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

295 A Midland Pkwy
Suite 220
Summerville, SC 29485-5901
Phone (843) 851-3800

809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 291-7182

9279 Medical Plaza Dr
Suite a
Charleston, SC 29406-9141
Phone (843) 569-2900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.73 of 100Reported as group
Quality
73.04
Promoting interoperability
99
Improvement activities
40
Cost
76.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28758SCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uwh of the Carolinas, PLLC Obstetrics & Gynecology CurrentSince Sep 1, 2022 Accepting new patients
Obhg South Carolina PC Obstetrics & Gynecology CurrentSince Feb 1, 2022 Accepting new patients
Trident Medical Center, LLC Past Accepting new patients

Locations

1027 Physicians Dr
Ste 110
Charleston, SC 29414
Phone (843) 740-6700

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

83 Springview Ln
Summerville, SC 29485
Phone (843) 797-3664

1801 2nd Ave
Summerville, SC 29486
Phone (732) 865-6880

295 Midland Pkwy
Summerville, SC 29485
Phone (843) 554-6366

Interoperability endpoints

  • Direct secure messaging: elizabeth.dacus@hca5.eclinicaldirectplus.com

Organizations & group practices 4

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 1

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1821013632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9279 MEDICAL PLAZA DR STE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069141",
            "telephone_number": "843-569-2900",
            "fax_number": "843-569-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9279 MEDICAL PLAZA DR STE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069141",
            "telephone_number": "843-569-2900",
            "fax_number": "843-569-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACUS",
        "first_name": "ELIZABETH",
        "middle_name": "NORENE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "28758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "28758",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287585",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ELIZABETH.DACUS@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "9279 Medical Plaza Dr Ste A",
            "city": "North Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294069141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.