CAROLINE BOLARINWA SAM MD
NPI 1104440205
Psychiatry & Neurology - Psychiatry in Charleston, SC

Q: What is Caroline Sam's NPI number?

The NPI number for Caroline Sam is 1104440205. It was assigned to this individual provider in the NPPES registry on June 4, 2020. The provider is also known as Caroline Bolanle Bolarinwa MD.

Q: What is Caroline Sam's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Caroline Sam was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 04, 2020PECOS Enrolled

2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414(843) 852-4100(305) 891-4228 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 9, 2025, Jul 31, 2024, Jul 7, 2023 and 1 more (4 updates tracked since 2020).

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About Caroline Bolarinwa Sam Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINE BOLARINWA SAM MD (NPI 1104440205) is an individual psychiatry provider in Charleston, South Carolina, licensed in South Carolina (MMD.84327) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104440205

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameCAROLINE BOLARINWA SAMCredential: MD

Location Address2100 CHARLIE HALL BLVDCharleston, SC 29414-5832

Mailing Address169 Ashley Avenue, Msc 333Charleston, SC 29425-8905

Phone(843) 852-4100

Fax(305) 891-4228

Sole ProprietorYes

Enumeration DateJune 4, 2020

Last NPPES UpdateMay 9, 20254 updates tracked since enumeration

NPPES CertifiedMay 9, 2025

✔ NPI 1104440205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in SC · MMD.84327

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

2100 CHARLIE HALL BLVD, Charleston, SC 29414

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Other Names 1

Former Name (1)Caroline Bolanle Bolarinwa Md

Secondary Practice Locations 2

Location 1171 Ashley AveCharleston, SC 29425-8905 · Phone (843) 792-1414

Location 2169 Ashley Avenue, MSC 333Charleston, SC 29425-8905 · Phone (843) 792-0192

Other Identifiers 1

Medicaid1760596480SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caroline Bolarinwa Sam Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Caroline Sam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Medical Associates

0.1 mi

Multi-Specialty

2125 CHARLIE HALL BLVD, SUITE 100
Charleston, SC 29414

Reassigned Medicare billing, South Carolina enrollment
Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
2,594 clinicians in this Medicare group

NPI 1760413835 (843) 792-1414

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29414 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$163.84 typical visit price

range $53.57 – $163.84

Typical copayment $40.96 (range $13.39 – $40.96)

Most-billed visit code 99205

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON N RITZERT RN

Registered Nurse