MUSC PHYSICIANS
NPI 1104977164
Nurse Practitioner in Charleston, SC

Q: What is University Medical Associates Of The Medical University Of South Carol's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since January 16, 2007

171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Musc Physicians NPPES

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

MUSC PHYSICIANS (NPI 1104977164) is a healthcare organization registered as a nurse practitioner in Charleston, South Carolina and active in the NPI registry since January 2007. The organization lists Karyn Rae, Director, as its authorized official.

NPPES Registry Identity

NPI1104977164

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameUNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL

Location Address171 ASHLEY AVECharleston, SC 29425-8908

Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200

Phone(843) 792-1414

Organization SubpartNo

Authorized OfficialKaryn RaeDirector · (843) 876-1344

Enumeration DateJanuary 16, 2007

Last NPPES UpdateDecember 4, 2024

NPPES CertifiedDecember 4, 2024

✔ NPI 1104977164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X

171 ASHLEY AVE, Charleston, SC 29425

Open in Google Maps ↗

Other Names 1

Doing Business AsMusc Physicians

Other Identifiers 1

MedicaidGP0824SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

CAROLYN REED WORD M.D.

Allergy & Immunology