Individual provider Active NPI

Christine Marie Suarez, M.D.

  • Pediatrics Physician
  • Goose Creek, SC
National Provider Identifier
1821412099
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
36713 Issued in SC
Practice address
99 Bridgetown Rd
Goose Creek, SC 29445-5359
Phone
(843) 572-3300
Fax
(833) 771-2207
NPI assigned
Feb 9, 2014
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 36713 SC Primary

Addresses

Primary practice location

99 Bridgetown Rd
Goose Creek, SC 29445-5359

Mailing address

8906 Two Notch Rd
Columbia, SC 29223-6366
Phone (803) 254-3676

Other identifiers 1

IdentifierTypeStateIssuer
367132MedicaidSC

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
I20221222002774 SC Practitioner - Family Practice 3476923004 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Healthcare, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Genesis Healthcare, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Lowcountry Pediatrics Past Accepting new patients
Genesis Healthcare, Inc. Past Accepting new patients
Genesis Healthcare, Inc. Past Accepting new patients

Locations

8906 Two Notch Rd
Columbia, SC 29223
Phone (803) 254-3676

201 Cashua St
Darlington, SC 29532
Phone (843) 383-7452

99 Bridgetown Rd
Goose Creek, SC 29445
Phone (843) 572-3300

Interoperability endpoints

  • Direct secure messaging: christine.suarez.1@20108.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25211/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1391904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1821412099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236366",
            "telephone_number": "803-254-3676",
            "fax_number": "803-254-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BRIDGETOWN RD",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455359",
            "telephone_number": "843-572-3300",
            "fax_number": "833-771-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-09",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "36713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367132",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

Verify at the official NPI Registry.