Active NPI
Kam W Chan, MD
- Family Medicine Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21455
- Practice address
- 1401 Sam Rittenberg Blvd Ste 6
Charleston, SC 29407-5031 - Phone
- (843) 973-5393
- Fax
- (833) 994-1098
- NPI assigned
- Apr 12, 2006
- Last updated
- Apr 6, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 21455 | SC | Primary |
Addresses
Primary practice location
1401 Sam Rittenberg Blvd Ste 6
Charleston, SC 29407-5031
Mailing address
1401 Sam Rittenberg Blvd Ste 6
Charleston, SC 29407-5031
Phone (843) 973-5393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L32196 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kam.chan.2@29601.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical University of South Carolina College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1401 Sam Rittenberg Blvd
Suite 6
Charleston, SC 29407-5031
Phone (843) 973-5393
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21455 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerwell Senior Primary Care (NC) PC | Family Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care NC JV PC | Family Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care (SC) PC | Family Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care NC JV PC | Family Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care (NC) JV, P.C. | Family Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care (SC) PC | Family Medicine | Past | Accepting new patients |
Locations
6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836
3512 Wilkinson Blvd
Ste 130
Charlotte, NC 28208
Phone (980) 999-2964
8727 Jw Clay Blvd
Charlotte, NC 28262
Phone (980) 999-1831
2910 E Franklin Blvd
Ste 1
Gastonia, NC 28056
Phone (704) 648-0460
108 Highway 28 Byp
Anderson, SC 29624
Phone (864) 296-5208
1401 Sam Rittenberg Blvd
Ste 6
Charleston, SC 29407
Phone (843) 973-5393
3516 Highway 153
Greenville, SC 29611
Phone (864) 729-6626
Interoperability endpoints
- kam.chan.1@29601.direct.athenahealth.com
- kam.chan.2@29601.direct.athenahealth.com
- kam.chan@420883186974724.direct.elationemr.com
- kam.chan@centerwell.eclinicaldirectplus.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CenterWell Senior Primary Care-Orchard Park
- Internal Medicine Physician
- Greenville, SC
- NPI 1376907790
Family Medicine
-
dba CenterWell Senior Primary Care-Gastonia
- Internal Medicine Physician
- Gastonia, NC
- NPI 1073034625
Family Medicine
-
dba CenterWell Senior Primary Care-University City
- Internal Medicine Physician
- Charlotte, NC
- NPI 1366181943
Family Medicine
-
dba CenterWell Senior Primary Care (NC) JV, P.C. - Sheffield Park
- Internal Medicine Physician
- Charlotte, NC
- NPI 1477373991
Family Medicine
-
dba CenterWell Senior Primary Care -Wendover
- Internal Medicine Physician
- Charlotte, NC
- NPI 1457090037
Family Medicine
-
dba CenterWell Senior Primary Care- Greer
- Internal Medicine Physician
- Greer, SC
- NPI 1093179426
Family Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Roper St. Francis Intensivist Services
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
-
dba CenterWell Home Health
- Home Health Agency
- North Charleston, SC
- NPI 1285899526
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1962472860
-
dba HCA Healthcare Trident Hospital
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1891759510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 SAM RITTENBERG BLVD STE 6",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294075031",
"telephone_number": "843-973-5393",
"fax_number": "833-994-1098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 SAM RITTENBERG BLVD STE 6",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294075031",
"telephone_number": "843-973-5393",
"fax_number": "833-994-1098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "KAM",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-12",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "21455",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "L32196",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kam.chan.2@29601.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "kam.chan.2@29601.direct.athenahealth.com",
"address_1": "1401 Sam Rittenberg Blvd Ste 6",
"city": "Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294075031",
"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 Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.