Charles J Kilgore, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

10325 Issued in SC

Practice address

940 Holly St
Orangeburg, SC 29115-4930

Phone

(803) 536-2725

Fax

(803) 534-3118

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ckilgore27932@directmcleodehealth.org
• Direct secure messaging: charles.kilgore.1@18835.direct.athenahealth.com

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.

• McLeod Health Clarendon

  • Certified Registered Nurse Anesthetist
  • Manning, SC
  • NPI 1508218793
  Medicare reassignment NPD
• Musc Community Physicians

  dba MUSC Community Physicians Specialty

  • Internal Medicine Physician
  • Bamberg, SC
  • NPI 1841878006
  Medicare reassignment NPD
• McLeod Health Clarendon

  dba McLeod Family Medicine-Timmonsville

  • Rural Health Clinic/Center
  • Timmonsville, SC
  • NPI 1003461773
  NPD
• McLeod Health Clarendon

  dba McLeod Women's Care Clarendon

  • Obstetrics & Gynecology Physician
  • Manning, SC
  • NPI 1497103618
  NPD
• Musc Community Physicians

  dba MUSC Health Primary Care - Bowman

  • Rural Health Clinic/Center
  • Bowman, SC
  • NPI 1225735772
  NPD
• Musc Community Physicians

  dba MUSC Community Physicians PC

  • Family Medicine Physician
  • Bamberg, SC
  • NPI 1992383145

  Pediatrics

  NPD
• The Regional Medical Center of Orangeburg and Calhoun Counties

  dba Urgent Care - Bamberg, a Department of the Regional Medical Center

  • Emergency Medicine Physician
  • Bamberg, SC
  • NPI 1043656572
  NPD
• The Regional Medical Center of Orangeburg and Calhoun Counties

  dba TRMC Emergency Medicine

  • Emergency Medicine Physician
  • Orangeburg, SC
  • NPI 1366527566
  NPD
• McLeod Health Clarendon

  • Rural Acute Care Hospital
  • Manning, SC
  • NPI 1205284411
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1972523355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 HOLLY ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154930",
            "telephone_number": "803-536-2725",
            "fax_number": "803-534-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 HOLLY ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154930",
            "telephone_number": "803-536-2725",
            "fax_number": "803-534-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "CHARLES",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "10325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5056289",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0924351",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103257",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CHOICE",
            "identifier": "20065759",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "225643",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian W Kendall, MD
• Dorothy F. Kendall, M.D.
• Dia Kennerly, MA
• Ashley E Keys
• Belal S. Khokhar, M.D.
• Colleen Marcia Kilgore, FNP APRN BC
• Christopher Kilgus, DPT
• Carin C Kinard, LPC
• Alethia S King, MA NCC LPC
• Samuel Van King, MD

• Pediatrics Physician in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.