Organization Active NPI

National Allergy Asthma & Urticaria Centers of Charleston PA

  • Allergy Physician
  • Charleston, SC
National Provider Identifier
1932294766
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
NATIONAL ALLERGY ASTHMA & URTICARIA CENTERS OF CHARLESTON PA
Practice address
7555 Northside Dr
Charleston, SC 29420-4211
Phone
(843) 797-8162
Fax
(843) 797-8372
NPI assigned
Oct 4, 2006
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Mrs. Amber Murphy
Title
Director
Phone
(843) 820-1302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207KA0200X Primary

Addresses

Primary practice location

7555 Northside Dr
Charleston, SC 29420-4211

Mailing address

730 Stony Landing Rd
Suite 200
Moncks Corner, SC 29461-2904
Phone (843) 797-8162

Other identifiers 1

IdentifierTypeStateIssuer
GP3542MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060410000116 SC Part B Supplier - Clinic/Group Practice 4385653054 Receives reassigned benefits from 10 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Charleston, SC; Mount Pleasant, SC; Moncks Corner, SC

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1470 Tobias Gadson Blvd
#200A
Charleston, SC 29407
Phone (843) 573-9373

401 N Live Oak Dr
Ste B
Moncks Corner, SC 29461
Phone (843) 761-7884

1210 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 884-1341

7555 Northside Dr
North Charleston, SC 29420
Phone (843) 797-8162

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1932294766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 STONY LANDING RD",
            "address_2": "SUITE 200",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294612904",
            "telephone_number": "843-797-8162",
            "fax_number": "843-797-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 NORTHSIDE DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294204211",
            "telephone_number": "843-797-8162",
            "fax_number": "843-797-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL ALLERGY ASTHMA & URTICARIA CENTERS OF CHARLESTON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-820-1302",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3542",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "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 Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.