NPIMap

Individual provider Active NPI

Charles W Outz Jr., MD

  • General Practice Physician
  • Piedmont, SC
National Provider Identifier
1962472084
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23843 Issued in SC
Practice address
3150 Highway 153
Piedmont, SC 29673-9498
Phone
(864) 220-0103
Fax
(864) 220-9925
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 23843 SC
General Practice Physician 208D00000X 23843 SC Primary

Addresses

Primary practice location

3150 Highway 153
Piedmont, SC 29673-9498

Mailing address

PO Box 447
Easley, SC 29641-0447
Phone (864) 220-0103

Other identifiers 1

IdentifierTypeStateIssuer
238433MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040412000696 SC Practitioner - Emergency Medicine 8325948581 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of South Carolina School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onsite Healthcare and Wellness LLC 28 clinicians

Practice addresses (Care Compare)

105 Franklin Square Way
Suite a
Easley, SC 29642-3715
Phone (864) 442-4110

3150 Hwy 153
Piedmont, SC 29673-9498
Phone (864) 220-0103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23843SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Outz Medical, LLC General Practice CurrentSince Jan 1, 2016 Accepting new patients
Onsite Medical Solutions SC Upstate LLC CurrentSince Nov 5, 2024 Accepting new patients
Edcare Consulting LLC Emergency Medicine CurrentSince Feb 1, 2018 Accepting new patients
Onsite Healthcare and Wellness LLC CurrentSince Apr 1, 2021 Accepting new patients
Onsite Medical Solutions SC Coastal LLC CurrentSince Oct 23, 2024 Accepting new patients
South Carolina Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Chesterfield-Marlboro LP Emergency Medicine Past Accepting new patients
Pee Dee Emergency Physicians Emergency Medicine Past Accepting new patients
South Carolina Em-I Medical Services, PC Emergency Medicine Past Accepting new patients
Hillside Emergency Physicians Emergency Medicine Past Accepting new patients
United Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Worth Lake Emergency Physicians Emergency Medicine Past Accepting new patients
SC Cherokee Emergency Physicians Emergency Medicine Past Accepting new patients
Gaffney Emergency Group PC Emergency Medicine Past Accepting new patients
Darling Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Wren Emergency Physicians Emergency Medicine Past Accepting new patients
Robertson Emergency Physicians Emergency Medicine Past Accepting new patients
E Jackson St Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Mayo Clinic Health System in Waycross, Inc. Past Accepting new patients

Locations

420 Thomson Cir
Abbeville, SC 29620
Phone (864) 366-1649

105 Franklin Square Way
#A
Easley, SC 29642
Phone (864) 442-4019

3150 Highway 153
Piedmont, SC 29673
Phone (846) 605-0018

Interoperability endpoints

  • Direct secure messaging: charles.outz.1@14664.direct.athenahealth.com
  • Direct secure messaging: outz.charles.005.0400027@sha.meditab.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/14664/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Johns Island Post AcuteJohns Island, SC, CCN 425368 Skilled nursing facility Contracted Managing Employee Mar 1, 2022
Cooper River Post AcuteMount Pleasant, SC, CCN 425146 Skilled nursing facility Contracted Managing Employee Mar 1, 2022
McCormick Post AcuteMC Cormick, SC, CCN 425171 Skilled nursing facility Adp of the SNF Jul 11, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1962472084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 447",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296410447",
            "telephone_number": "864-220-0103",
            "fax_number": "864-220-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 HIGHWAY 153",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296739498",
            "telephone_number": "864-220-0103",
            "fax_number": "864-220-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUTZ",
        "first_name": "CHARLES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "23843",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": "23843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "238433",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Piedmont, SC

Sources for this page

Verify at the official NPI Registry.