Active NPI
Douglas L Michaelsen, MD
- Hematology & Oncology Physician
- North Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 19684
- Practice address
- 2910 Tricom St
Charleston Cancer Center
North Charleston, SC 29406-9350 - Phone
- (843) 572-9211
- Fax
- (843) 572-0457
- NPI assigned
- Aug 23, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 19684 | SC | Primary |
Addresses
Primary practice location
2910 Tricom St
Charleston Cancer Center
North Charleston, SC 29406-9350
Mailing address
PO Box 751874
Charlotte, NC 28275-1874
Phone (843) 402-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196843 | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Wake Forest University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2910 Tricom St
N Charleston, SC 29406-9350
Phone (843) 572-9211
Hospital & facility affiliations
- Bon Secours-St Francis Xavier Hospital
- Trident Medical Center
- Colleton Medical Center
- Roper St Francis Hospital-Berkeley Inc
- Roper Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19684 | SC | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours St. Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Bon Secours St Francis Xavier Hospital, Inc. | Hematology & Oncology | Current | Accepting new patients |
| Bon Secours St Francis Xavier Hospital, Inc. | Current | Accepting new patients |
Locations
125 Doughty St
Ste 500
Charleston, SC 29403
Phone (843) 577-2276
2085 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 577-6957
2085 Henry Tecklenburg Dr
Fl 2
Charleston, SC 29414
Phone (843) 577-6957
2910 Tricom St
North Charleston, SC 29406
Phone (843) 572-9211
Interoperability endpoints
- dmichaelsen1252672@direct.bsmhealth.org
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Charleston, SC
- NPI 1770867442
-
- Hematology & Oncology Physician
- N Charleston, SC
- NPI 1205570421
-
- Pediatrics Physician
- Charleston, SC
- NPI 1982583068
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1962472860
-
- General Acute Care Hospital
- Summerville, SC
- NPI 1336603646
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
-
- General Acute Care Hospital
- Walterboro, SC
- NPI 1376597997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1932191269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751874",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751874",
"telephone_number": "843-402-5200",
"fax_number": "843-402-5296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 TRICOM ST",
"address_2": "CHARLESTON CANCER CENTER",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069350",
"telephone_number": "843-572-9211",
"fax_number": "843-572-0457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAELSEN",
"first_name": "DOUGLAS",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "SC",
"license": "19684",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "196843",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.