Individual provider Active NPI

Christopher James Edenfield, PA

  • Physician Assistant
  • Charleston, SC
National Provider Identifier
1982023339
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2100 Issued in SC
Practice address
1938 Charlie Hall Blvd Unit B
Charleston, SC 29414-6099
Phone
(843) 402-0227
Fax
(843) 402-0232
NPI assigned
Apr 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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 2100 SC Primary

Addresses

Primary practice location

1938 Charlie Hall Blvd Unit B
Charleston, SC 29414-6099

Mailing address

1938 Charlie Hall Blvd Unit B
Charleston, SC 29414-6099
Phone (843) 402-0227

Other identifiers 1

IdentifierTypeStateIssuer
1851PAMedicaidSC

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
I20140612001817 SC Practitioner - Physician Assistant 0042434011 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lowcountry Infectious Diseases PAGroup PAC ID 8527070291, 15 clinicians

Practice addresses (Care Compare)

1938 Charlie Hall Blvd
Unit B
Charleston, SC 29414-6099
Phone (843) 402-0227

1938 Charlie Hall Blvd Unit B
Charleston, SC 29414-6099

989 Ribaut Rd
Suite 370
Beaufort, SC 29902-5472
Phone (843) 402-0227

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort County Memorial Hospital CurrentSince Jan 2, 2025 Accepting new patients
Beaufort County Memorial Hospital Physician Assistant CurrentSince Jan 2, 2025 Accepting new patients
St Josephs Candler Urgent Care Centers LLC CurrentSince May 26, 2019 Accepting new patients
Lowcountry Infectious Diseases PA CurrentSince Aug 21, 2024 Accepting new patients
Lowcountry Infectious Diseases PA CurrentSince Aug 21, 2024 Accepting new patients
Georgia Emergency Associates Immediate Care Center Past Accepting new patients

Locations

989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351

955 Ribaut Rd
#C
Beaufort, SC 29902

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

989 Ribaut Rd
Ste 370
Beaufort, SC 29902
Phone (843) 402-0227

3 Progressive St
Bluffton, SC 29910
Phone (843) 548-0533

1938 Charlie Hall Blvd
Unit B
Charleston, SC 29414
Phone (803) 402-0227

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1982023339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 CHARLIE HALL BLVD UNIT B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146099",
            "telephone_number": "843-402-0227",
            "fax_number": "843-402-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 CHARLIE HALL BLVD UNIT B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146099",
            "telephone_number": "843-402-0227",
            "fax_number": "843-402-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDENFIELD",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.