Organization Active NPI

Charleston OB/GYN, LLC

  • Obstetrics & Gynecology Physician
  • Charleston, SC
National Provider Identifier
1841232501
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
CHARLESTON OB/GYN, LLC
Doing business as
Charleston OB/Gyn, LLC
Practice address
1027 Physicians Dr Ste 110
Charleston, SC 29414-5351
Phone
(843) 740-6700
Fax
(843) 745-9428
NPI assigned
Jun 10, 2006
Last updated
Mar 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Anne Carter
Title
Administrative Supervisor
Phone
(843) 740-6700

Specialties & licenses 1

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

Addresses

Primary practice location

1027 Physicians Dr Ste 110
Charleston, SC 29414-5351

Mailing address

1027 Physicians Dr Ste 110
Charleston, SC 29414-5351
Phone (843) 740-6700

Other identifiers 2

IdentifierTypeStateIssuer
GP3554MedicaidSC
CK4839OtherSCRAILROAD MEDICARE

Other names 1

  • Charleston OB/Gyn, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1027 Physicians Dr
Ste 100
Charleston, SC 29414
Phone (843) 740-6700

4480 Leeds Pl W
North Charleston, SC 29405
Phone (843) 740-6700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1841232501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 PHYSICIANS DR STE 110",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145351",
            "telephone_number": "843-740-6700",
            "fax_number": "843-745-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 PHYSICIANS DR STE 110",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145351",
            "telephone_number": "843-740-6700",
            "fax_number": "843-745-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON OB/GYN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "ADMINISTRATIVE SUPERVISOR",
        "authorized_official_telephone_number": "843-740-6700"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3554",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK4839",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charleston OB/Gyn, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.