CHARLESTON FACIAL PLASTIC SURGERY LLC
NPI 1194144493
Otolaryngology - Facial Plastic Surgery in Charleston, SC

Active since April 15, 2014
67 BROAD ST, SUITE 200, CHARLESTON, SC 29401(843) 882-7181 Get Directions Write a Review

NPPES record last updated: April 15, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Charleston Facial Plastic Surgery Llc NPPES

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

CHARLESTON FACIAL PLASTIC SURGERY LLC (NPI 1194144493) is a healthcare organization registered as a facial plastic surgery in Charleston, South Carolina and active in the NPI registry since April 2014. The organization lists David Wastson Rodwell, Owner, as its authorized official.

NPPES Registry Identity

NPI1194144493
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameCHARLESTON FACIAL PLASTIC SURGERY LLC
Location Address67 BROAD ST, SUITE 200Charleston, SC 29401-2936
Mailing Address281 E Shore LnCharleston, SC 29407-5656
Organization SubpartNo
Authorized OfficialDavid Wastson RodwellOwner · (843) 882-7181
Enumeration DateApril 15, 2014
✔ NPI 1194144493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in SC · TL36529
Definition
An otolaryngologist who specializes in facial plastic surgery.
67 BROAD ST, Charleston, SC 29401

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 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)

Charleston Facial Plastic Surgery 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 Charleston Facial Plastic Surgery LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Plastic and Reconstructive Surgery
NPI 1063687325
67 BROAD ST SUITE 200
Charleston, SC 29401
(843) 628-1415
✔ 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 Charleston Facial Plastic Surgery LLC's NPI number?

The NPI number for Charleston Facial Plastic Surgery LLC is 1194144493. It was assigned to this organization in the NPPES registry on April 15, 2014.

Where is Charleston Facial Plastic Surgery LLC located?

Charleston Facial Plastic Surgery LLC is located at 67 Broad St Suite 200, Charleston, SC 29401. The listed phone number is (843) 882-7181.

What is Charleston Facial Plastic Surgery LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Charleston Facial Plastic Surgery LLC enrolled in Medicare?

Yes. Charleston Facial Plastic Surgery LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Charleston Facial Plastic Surgery LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Charleston Facial Plastic Surgery 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 Charleston Facial Plastic Surgery LLC was last updated on April 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.