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SOUTH CAROLINA NEURO, LLC
NPI 1184132193
Clinical Neuropsychologist in Charleston, SC

Active since January 12, 2018
29 LEINBACH DRIVE, D4, CHARLESTON, SC 29407(843) 509-6521(843) 636-3406 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 19, 2021, Aug 21, 2019, Jan 12, 2018 (3 updates tracked since 2018).

About South Carolina Neuro, Llc NPPES

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

SOUTH CAROLINA NEURO, LLC (NPI 1184132193) is a healthcare organization registered as a clinical neuropsychologist in Charleston, South Carolina and active in the NPI registry since January 2018. The organization maintains a secondary practice location in Summerville and lists William Howard Buddin, Owner, as its authorized official.

NPPES Registry Identity

NPI1184132193
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameSOUTH CAROLINA NEURO, LLC
Location Address29 LEINBACH DRIVE, D4Charleston, SC 29407-7086
Mailing Address29 Leinbach Drive, D4Charleston, SC 29407-7086 · (843) 509-6521 · Fax (843) 636-3406
Phone(843) 509-6521
Fax(843) 636-3406
Organization SubpartNo
Authorized OfficialWilliam Howard BuddinOwner · (843) 860-5266
Enumeration DateJanuary 12, 2018
Last NPPES UpdateJanuary 19, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2021
✔ NPI 1184132193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
29 LEINBACH DRIVE, Charleston, SC 29407
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Secondary Practice Location 1

Location 1107 W 5th North St Ste 102Summerville, SC 29483-6446 · Phone (843) 509-6521

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Carolina Neuro, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to South Carolina Neuro, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

William Buddin, PH.D.
Clinical Psychologist
NPI 1215375035
29 LEINBACH DR SUITE D4
Charleston, SC 29407
(843) 509-6521
✔ PECOS✔ Accepts MedicareSame address

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Carolina Neuro, LLC's NPI number?

The NPI number for South Carolina Neuro, LLC is 1184132193. It was assigned to this organization in the NPPES registry on January 12, 2018.

Where is South Carolina Neuro, LLC located?

South Carolina Neuro, LLC is located at 29 Leinbach Drive D4, Charleston, SC 29407. The listed phone number is (843) 509-6521.

What is South Carolina Neuro, LLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is South Carolina Neuro, LLC enrolled in Medicare?

Yes. South Carolina Neuro, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Carolina Neuro, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to South Carolina Neuro, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for South Carolina Neuro, LLC was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.