Individual provider Active NPI

Meredith Elise Osborne

  • Physician Assistant
  • Mount Pleasant, SC
National Provider Identifier
1881244614
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
04731 Issued in SC
Practice address
Charleston Thyroid Center
1054 Johnnie Dodds Blvd, Suite a
Mount Pleasant, SC 29464
Phone
(843) 388-7545
NPI assigned
Sep 13, 2019
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 04731 SC Primary

Addresses

Primary practice location

Charleston Thyroid Center
1054 Johnnie Dodds Blvd, Suite a
Mount Pleasant, SC 29464

Mailing address

680 Pelzer Dr
Mount Pleasant, SC 29464-3556
Phone (678) 602-8195

Other identifiers 3

IdentifierTypeStateIssuer
0110010413OtherVAPA LICENSE
PA-04731OtherSCPA LICENSE
TPPA797OtherFLPA LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL meredith.osborne.jri@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Sep 9, 2024 through Sep 9, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4731SCMDSpeech-Language Pathologist
04731SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Thyroid Center, LLC CurrentSince Oct 27, 2024 Accepting new patients

Locations

1054 Johnnie Dodds Blvd
Ste A
Mt Pleasant, SC 29464
Phone (800) 599-7183

Organizations & group practices 1

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": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1881244614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 PELZER DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643556",
            "telephone_number": "678-602-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHARLESTON THYROID CENTER",
            "address_2": "1054 JOHNNIE DODDS BLVD, SUITE A",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-388-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "MEREDITH",
        "middle_name": "ELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "04731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "0110010413",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "PA-04731",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "TPPA797",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "meredith.osborne.jri@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Admin",
            "address_1": "Joint Relief Institute",
            "address_2": "600 22nd Street",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.