Berkeley Family Practice LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BERKELEY FAMILY PRACTICE LLC

Practice address

2061 Highway 52
Moncks Corner, SC 29461-5017

Phone

(843) 761-8800

Fax

(843) 761-8824

NPI assigned

Jul 18, 2006

Last updated

May 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey R Santi, M.D.NPI 1326073412

Title

M.D. - Partner

Phone

(843) 761-8800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JICEAA

Practitioners 5

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.

• Jeffrey Ramond Santi, MD

  • Family Medicine Physician
  • Moncks Corner, SC
  • NPI 1326073412
  Medicare reassignment Care Compare group NPD Authorized official
• Jeremy James Ackermann, DO

  • Family Medicine Physician
  • Moncks Corner, SC
  • NPI 1417983982
  Medicare reassignment Care Compare group NPD
• Samuel Adams II, D.O.

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1972942134
  Medicare reassignment Care Compare group NPD
• John Daniel Flaugher, M.D.

  • Family Medicine Physician
  • Moncks Corner, SC
  • NPI 1558700567
  Medicare reassignment Care Compare group NPD
• Sarah Kaye Heincelman, M.D.

  • Family Medicine Physician
  • Moncks Corner, SC
  • NPI 1023339801
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1962420927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 HIGHWAY 52",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294615017",
            "telephone_number": "843-761-8800",
            "fax_number": "843-761-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 HIGHWAY 52",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294615017",
            "telephone_number": "843-761-8800",
            "fax_number": "843-761-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "SANTI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "M.D. - PARTNER",
        "authorized_official_telephone_number": "843-761-8800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA2416",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Berkeley County School District
• Berkeley County School District
• Berkeley County School District
• Berkeley County Schools
• Berkeley Family Dentistry LLC
• Berkeley Home Clinic
• Berkeley Home Pharmacy LLC (Berkeley Home Pharmacy)
• Berkeley Medical Center, LLC
• Berkeley Prosthetic Laboratory LLC
• Berkeley Seniors Inc

• Family Medicine Physician in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.