Individual provider Active NPI

Charles William Hinnant Jr., MD JD

  • Urology Physician
  • Anderson, SC
National Provider Identifier
1982659363
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
15856SC Issued in SC
Practice address
112 Essex Dr
Anderson, SC 29621-3319
Phone
(864) 226-6131
Fax
(864) 226-2320
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 15856SC SC Primary

Addresses

Primary practice location

112 Essex Dr
Anderson, SC 29621-3319

Mailing address

112 Essex Dr
Anderson, SC 29621-3319
Phone (864) 226-6131

Other identifiers 1

IdentifierTypeStateIssuer
158563MedicaidSC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120104000003 SC Practitioner - Urology 4082880695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 Essex Dr
Anderson, SC 29621-3319
Phone (864) 226-6131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15856SCSCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pecora Medical, PC PastSince Jul 1, 1998 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10605/brand/1/csg/1/fhir/r4
  • Direct secure messaging: charles.hinnant.1@10605.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1982659363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ESSEX DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213319",
            "telephone_number": "864-226-6131",
            "fax_number": "864-225-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ESSEX DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213319",
            "telephone_number": "864-226-6131",
            "fax_number": "864-226-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINNANT",
        "first_name": "CHARLES",
        "middle_name": "WILLIAM",
        "name_suffix": "Jr.",
        "credential": "MD JD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "15856SC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158563",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.