NPIMap

Organization Active NPI

Lowcountry Urology Clinics, PA

  • Durable Medical Equipment & Medical Supplies
  • Charleston, SC
National Provider Identifier
1831967454
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LOWCOUNTRY UROLOGY CLINICS, PA
Practice address
641 Saint Andrews Blvd
Charleston, SC 29407-7165
Phone
(843) 766-9747
NPI assigned
Dec 13, 2023
Organization subpart
Yes
Parent organization
LOWCOUNTRY UROLOGY CLINICS, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Scott Barrett Sellinger
Title
MD/ Owner
Phone
(850) 309-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

641 Saint Andrews Blvd
Charleston, SC 29407-7165

Mailing address

641 Saint Andrews Blvd
Charleston, SC 29407-7165

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240523000309 SC DME Supplier - Physician - Urology 6406869247 Practice locations: Charleston, SC

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Lowcountry Urology Clinics13 organizations share this tax ID, including this one
Part of
Lowcountry Urology Clinics

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1470 Tobias Gadson Blvd
Charleston, SC 29407
Phone (843) 556-2020

125 Doughty St
Ste 380
Charleston, SC 29403
Phone (803) 797-1444

999 Lake Hunter Cir
Ste F
Mount Pleasant, SC 29464
Phone (843) 884-9646

109 Burton Ave
Summerville, SC 29485
Phone (843) 871-5220

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1831967454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 SAINT ANDREWS BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 SAINT ANDREWS BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077165",
            "telephone_number": "843-766-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY UROLOGY CLINICS, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOWCOUNTRY UROLOGY CLINICS, PA",
        "enumeration_date": "2023-12-13",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "SELLINGER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "BARRETT",
        "authorized_official_title_or_position": "MD/ OWNER",
        "authorized_official_telephone_number": "850-309-0400"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.