Organization Active NPI

Anderson Urology Associates PA

  • Urology Physician
  • Anderson, SC
National Provider Identifier
1891753893
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
15856 Issued in SC
Legal business name
ANDERSON UROLOGY ASSOCIATES PA
Practice address
112 Essex Drive
Anderson, SC 29621-3319
Phone
(864) 226-6131
Fax
(864) 225-0830
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Authorized official

Name
Mr. Charles William Hinnant Jr., MD JDNPI 1982659363
Title
Pres Owner
Phone
(864) 226-6131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X 15856 SC Primary

Addresses

Primary practice location

112 Essex Drive
Anderson, SC 29621-3319

Mailing address

112 Essex Drive
Anderson, SC 29621-3319
Phone (864) 226-6131

Other identifiers 2

IdentifierTypeStateIssuer
GP2184MedicaidSC
00593524BMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120104000002 SC Part B Supplier - Clinic/Group Practice 3173799780 Receives reassigned benefits from 1 practitioner
Practice locations: Anderson, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0252742Anderson Urology Associates PA112 Essex Dr, Anderson, SC 29621Provider-performed microscopyAug 23, 2026

National Provider Directory

National Provider Directory

Locations

112 Essex Dr
Anderson, SC 29621
Phone (864) 226-6121

1411 N Main St
Anderson, SC 29621
Phone (864) 226-6131

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10605/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1891753893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ESSEX DRIVE",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213319",
            "telephone_number": "864-226-6131",
            "fax_number": "864-225-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ESSEX DRIVE",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213319",
            "telephone_number": "864-226-6131",
            "fax_number": "864-225-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON UROLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "HINNANT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRES OWNER",
        "authorized_official_telephone_number": "864-226-6131",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD JD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "SC",
            "license": "15856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2184",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00593524B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.