Chadley Milton Runyan, M.D.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

34688 Issued in SC

Practice address

1005 E Cheves St
Florence, SC 29506-2707

Phone

(843) 777-7900

Fax

(843) 777-7925

NPI assigned

May 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC, AL2 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 2

Specialty

Sports MedicineAlso: Family Practice

Education

University of Toledo College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthosports1St PCGroup PAC ID 8729402037, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crunyan82213@directmcleodehealth.org

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.

• Orthosports1St PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Hoover, AL
  • NPI 1730701673
  Medicare reassignment Care Compare group NPD
• Sportscare Medical Associates, Inc.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Huntington, WV
  • NPI 1649368291
  NPD (past) Authorized official
• Orthosports1St PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Madison, AL
  • NPI 1184438855
  NPD
• Pee Dee Orthopedic Assoc

  • Orthopaedic Surgery Physician
  • Florence, SC
  • NPI 1700887742
  NPD (past)
• Pee Dee Orthopedic Assoc

  • Orthopaedic Surgery Physician
  • Laurinburg, NC
  • NPI 1619273802
  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1821056680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-777-7092",
            "fax_number": "843-777-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E CHEVES ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062707",
            "telephone_number": "843-777-7900",
            "fax_number": "843-777-7925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Johns St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295062777",
            "country_code": "US",
            "telephone_number": "843-662-5233",
            "fax_number": "843-678-9003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUNYAN",
        "first_name": "CHADLEY",
        "middle_name": "MILTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "SC",
            "license": "34688",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "87605",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MI",
            "license": "4301074767",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "WV",
            "license": "20909",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346888",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300441700",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Ann Roy, MSOTR/L
• Michael Alan Roycroft, LPC, NCC
• Brittany Ruggeri
• Craig Raymond Ruggiero, PT
• Lora C. Ruggiero, RN
• Erica Ruppert, OTR/L
• Russell Eyecare
• Ashley Melissa Russell, PHARM D
• Bradley Stokes Russell, MD
• Francheska L Russell, LPC

• Sports Medicine (Family Medicine) Physician in Florence, SC
• Providers in Florence, SC by specialty
• Sports Medicine (Family Medicine) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.

Verify at the official NPI Registry.