Active NPI
Daniel Poole, M.D.
- Sports Medicine (Family Medicine) Physician
- Summerville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 93979
- Practice address
- 300 Callen Blvd Ste 330
Summerville, SC 29486-2816 - Phone
- (843) 763-2857
- Fax
- (843) 606-8053
- NPI assigned
- Apr 10, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 333412 | LA | |
| Family Medicine Physician | 207Q00000X | 0101279918 | VA | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 93979 | SC | Primary |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 333412 | LA |
Addresses
Primary practice location
300 Callen Blvd Ste 330
Summerville, SC 29486-2816
Mailing address
PO Box 632709
Cincinnati, OH 45263-2709
Phone (888) 472-0043
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, SC
- 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
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8091 Rivers Ave
North Charleston, SC 29406-9236
Phone (843) 572-7000
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.85 of 100
- Quality
- 90.74
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93979 | SC | MD | Family Medicine Physician |
| 0101279918 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Urgent Cares LLC | Family Medicine | Current | Accepting new patients |
| Orthovirginia, Inc. | Current | Accepting new patients | |
| Orthovirginia Inc | Current | Accepting new patients | |
| Orthovirginia, Inc | Current | Accepting new patients |
Locations
6167 Braided Mane Pass SW
Aiken, SC 29803
Phone (803) 502-1484
8091 Rivers Ave
North Charleston, SC 29406
Phone (843) 572-7000
2475 Broad St
Sumter, SC 29150
Phone (803) 778-6555
8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595
9369 Atlee Rd
Ste 3107
Mechanicsville, VA 23116
Phone (804) 440-4878
1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242
8901 Three Chopt Rd
Ste D
Richmond, VA 23229
Phone (804) 440-4878
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Anderson, SC
- NPI 1841026382
Family Medicine
-
- Multi-Specialty Clinic/Center
- Mechanicsville, VA
- NPI 1487671822
-
- Physical Medicine & Rehabilitation Physician
- Arlington, VA
- NPI 1376411413
-
- Multi-Specialty Clinic/Center
- North Chesterfield, VA
- NPI 1265470645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1922505676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 632709",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452632709",
"telephone_number": "888-472-0043",
"fax_number": "843-724-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CALLEN BLVD STE 330",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294862816",
"telephone_number": "843-763-2857",
"fax_number": "843-606-8053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "DANIEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-10",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "333412",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101279918",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "SC",
"license": "93979",
"primary": true
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "LA",
"license": "333412",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.