Individual provider Active NPI

Charmaine M George, M.D

  • Internal Medicine Physician
  • Hopkins, SC
National Provider Identifier
1962463943
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15964 Issued in SC
Practice address
9019 Garners Ferry Rd Ste B
Ste B
Hopkins, SC 29061-9687
Phone
(803) 699-8444
Fax
(803) 699-8440
NPI assigned
Mar 30, 2006
Last updated
May 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15964 SC Primary

Addresses

Primary practice location

9019 Garners Ferry Rd Ste B
Ste B
Hopkins, SC 29061-9687

Mailing address

9019 Garners Ferry Rd
Ste B
Hopkins, SC 29061-9687
Phone (803) 699-8444

Other identifiers 2

IdentifierTypeStateIssuer
FQC030MedicaidSC
FQC043MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15964SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eau Claire Cooperative Health Center, Inc Past Accepting new patients
Community Wellness Group LLC Internal Medicine PastSince Jul 27, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: charmaine.george.p1@direct.scdc.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/10781/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1962463943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9019 GARNERS FERRY RD",
            "address_2": "STE B",
            "city": "HOPKINS",
            "state": "SC",
            "postal_code": "290619687",
            "telephone_number": "803-699-8444",
            "fax_number": "803-699-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9019 GARNERS FERRY RD STE B",
            "address_2": "STE B",
            "city": "HOPKINS",
            "state": "SC",
            "postal_code": "290619687",
            "telephone_number": "803-699-8444",
            "fax_number": "803-699-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "CHARMAINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "15964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FQC030",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FQC043",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkins, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.