Individual provider Active NPI

David R. Hart, PA-C

  • Physician Assistant
  • Charleston, SC
National Provider Identifier
1942342142
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
A763FP Issued in SC
Practice address
354 Folly Rd Ste 5
Charleston, SC 29412-2594
Phone
(843) 225-2374
Fax
(434) 591-9238
NPI assigned
Feb 13, 2007
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X A763FP SC Primary

Addresses

Primary practice location

354 Folly Rd Ste 5
Charleston, SC 29412-2594

Mailing address

354 Folly Rd Ste 5
Charleston, SC 29412-2594
Phone (843) 225-2374

Other practice location 1

8901 University Blvd
N Charleston, SC 29406-9116
Phone (843) 203-2245

Other practice location 2

5880 Rivers Ave
North Charleston, SC 29406-6053
Phone (843) 225-2374

Other identifiers 1

IdentifierTypeStateIssuer
0081PAMedicaidSC

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040413001007 SC Practitioner - Physician Assistant 0547254419 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Medical of SC LLCGroup PAC ID 0042550386, 6 clinicians

Practice addresses (Care Compare)

354 Folly Rd
Suite 5
Charleston, SC 29412-2594
Phone (843) 225-2374

5880 Rivers Ave
North Charleston, SC 29406-6053
Phone (843) 225-2374

8901 University Blvd
N Charleston, SC 29406-9116
Phone (843) 789-1850

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
A763FPSCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Sep 16, 2010 Accepting new patients
Roper Hospital Inc. CurrentSince Oct 27, 2012 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Sep 16, 2010 Accepting new patients
Roper Hospital Inc CurrentSince Oct 27, 2012 Accepting new patients
Bellwood Park Emergency Physicians LLC Past Accepting new patients
Pee Dee Emergency Physicians Past Accepting new patients

Locations

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

1137 Cook Rd
Orangeburg, SC 29118
Phone (803) 395-2579

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

Interoperability endpoints

  • Direct secure messaging: david.hart@148186305331204.direct.elationemr.com

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1942342142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 FOLLY RD STE 5",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122594",
            "telephone_number": "843-225-2374",
            "fax_number": "803-536-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 FOLLY RD STE 5",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122594",
            "telephone_number": "843-225-2374",
            "fax_number": "434-591-9238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8901 University Blvd",
            "address_purpose": "LOCATION",
            "city": "N Charleston",
            "state": "SC",
            "postal_code": "294069116",
            "country_code": "US",
            "telephone_number": "843-203-2245",
            "fax_number": "843-203-2244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5880 Rivers Ave",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294066053",
            "country_code": "US",
            "telephone_number": "843-225-2374",
            "fax_number": "843-459-1923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "DAVID",
        "middle_name": "R.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "A763FP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0081PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.