Individual provider Active NPI

Maribel Rodriguez-Scott, DO

  • General Practice Physician
  • North Charleston, SC
National Provider Identifier
1922090539
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
1134 Issued in SC
Practice address
2810 Ashley Phosphate Rd
Suite a-6
North Charleston, SC 29418-6405
Phone
(843) 553-7744
Fax
(843) 553-7734
NPI assigned
Aug 19, 2005
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1134 SC
General Practice Physician 208D00000X 1134 SC Primary

Addresses

Primary practice location

2810 Ashley Phosphate Rd
Suite a-6
North Charleston, SC 29418-6405

Mailing address

2810 Ashley Phosphate Rd
Suite a-6
North Charleston, SC 29418-6405
Phone (843) 553-7744

Other identifiers 7

IdentifierTypeStateIssuer
JBM04730OtherSCJUA
1134OtherSCSTATE LICENSE NUMBER
42D1077950OtherSCCLIA
GP4815MedicaidSC
011347MedicaidSC
10167OtherSCSC PCF
12706OtherILBROAD CERTIFICATION

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080325000709 SC Practitioner - Family PracticePractitioner - Internal Medicine 4789650607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers New Jersey Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

4115 Dorchester Rd
Suite 100
Charleston, SC 29405-7501
Phone (843) 554-6737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1134SCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Mar 21, 2016 Accepting new patients
American Current Care PA CurrentSince Mar 21, 2016 Accepting new patients
Dr Arias LLC Past Accepting new patients
Liberty Doctors LLC Past Accepting new patients
Delaware Valley Community Health, Inc. Past Accepting new patients
Hopeclinic Walterboro Past Accepting new patients

Locations

4115 Dorchester Rd
Ste 100
North Charleston, SC 29405
Phone (843) 554-6737

7519 Rivers Ave
North Charleston, SC 29406
Phone (843) 735-5020

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.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1922090539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 ASHLEY PHOSPHATE RD",
            "address_2": "SUITE A-6",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294186405",
            "telephone_number": "843-553-7744",
            "fax_number": "843-553-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 ASHLEY PHOSPHATE RD",
            "address_2": "SUITE A-6",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294186405",
            "telephone_number": "843-553-7744",
            "fax_number": "843-553-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-SCOTT",
        "first_name": "MARIBEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "1134",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": "1134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JUA",
            "identifier": "JBM04730",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "1134",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "42D1077950",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4815",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011347",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC PCF",
            "identifier": "10167",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BROAD CERTIFICATION",
            "identifier": "12706",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.