NPIMap

Individual provider Active NPI

Cherika Stephanie Gadson, NP-C

  • Family Nurse Practitioner
  • Summerville, SC
National Provider Identifier
1881077253
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19568 Issued in SC
Practice address
87 Springview LN
Summerville, SC 29485
Phone
(843) 876-7979
NPI assigned
Jul 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 19568 SC
Primary Care Nurse Practitioner 363LP2300X 19568 SC
Family Nurse Practitioner 363LF0000X 19568 SC Primary

Addresses

Primary practice location

87 Springview LN
Summerville, SC 29485

Mailing address

PO Box 602108
Charlotte, NC 28260-2108
Phone (843) 792-2300

Other identifiers 1

IdentifierTypeStateIssuer
NP3573MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160816002256 SC Practitioner - Nurse Practitioner 8426363524 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolina Family Care IncGroup PAC ID 4587557731, 81 clinicians

Practice addresses (Care Compare)

87 Springview LN
Summerville, SC 29485-9077
Phone (843) 876-7979

Hospital & facility affiliations

  • Musc Health at Home, by Bayada- Charleston Home health agency, Charleston, SC, CCN 427004
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004
  • Trident Medical Center Hospital, Charleston, SC, CCN 420079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
19568SCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Care, Inc CurrentSince Jun 14, 2018 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Jun 28, 2016 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Jun 28, 2016 Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Carolina Family Care, Inc CurrentSince Jun 14, 2018 Accepting new patients
Carolina Family Care, Inc Past Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

1208 Two Island Ct
Mt Pleasant, SC 29466
Phone (843) 884-6653

404 N Pine St
Summerville, SC 29483
Phone (803) 260-7990

201 Oakbrook Ln
Ste 255
Summerville, SC 29485
Phone (843) 695-8464

87 Springview Ln
Summerville, SC 29485
Phone (843) 876-7979

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1435881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1881077253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602108",
            "telephone_number": "843-792-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 SPRINGVIEW LN",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "29485",
            "telephone_number": "843-876-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADSON",
        "first_name": "CHERIKA",
        "middle_name": "STEPHANIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-03",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "19568",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "19568",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3573",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.