SOUTH CAROLINA SPORTS MEDICINE & ORTHOPAEDIC CENTER – NPI #1922111715
Orthopaedic Surgery

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

SOUTH CAROLINA SPORTS MEDICINE & ORTHOPAEDIC CENTER is an orthopaedic surgeon located in NORTH CHARLESTON, SC. NPPES has assigned the NPI number 1922111715 to SOUTH CAROLINA SPORTS MEDICINE & ORTHOPAEDIC CENTER on August 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207XX0005X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Sports Medicine

The NPI profile was last updated on Jun 27, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTH CAROLINA SPORTS MEDICINE & ORTHOPAEDIC CENTER below.

NPI Profile for
SOUTH CAROLINA SPORTS MEDICINE & ORTHOPAEDIC CENTER

NPI Number
1922111715
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTH CAROLINA SPORTS MEDICINE & ORTHOPAEDIC CENTER
Primary location
9100 MEDCOM ST
NORTH CHARLESTON, SC 29406-9188
Phone: (843) 572-2663 Fax: (843) 764-3577
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MATTHEW MCWILLIAMS
CFO
Phone: (843) 569-3367
Updated
Certification Date
Jun 27, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SOUTH CAROLINA SPORTS MEDICINE & ORTHOPAEDIC CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherDMERIC ID0253030001
medicaidSCGP0078
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207XX0005X
- Orthopaedic Surgery / Sports Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.