1. Home
  2. Directory
  3. South Carolina
  4. Summerville
  5. Preventive Medicine
  6. NPI Profile

VASCULAR MEDICINE AND WOUND MANAGEMENT CLINIC
NPI 1205388618
Preventive Medicine - Undersea and Hyperbaric Medicine in Summerville, SC

Active since November 02, 2016
300 CALLEN BLVD STE 220, SUMMERVILLE, SC 29486(843) 724-2289(843) 606-8038 Get Directions Write a Review

NPPES record last updated: March 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2022, Sep 14, 2020, Aug 18, 2020 and 5 more (8 updates tracked since 2016).

About Vascular Medicine And Wound Management Clinic NPPES

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

VASCULAR MEDICINE AND WOUND MANAGEMENT CLINIC (NPI 1205388618) is a healthcare organization registered as an undersea and hyperbaric medicine in Summerville, South Carolina and active in the NPI registry since November 2016. The organization lists William Anthony Jackson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205388618
Entity TypeOrganization
Primary Taxonomy2083P0011X
Legal Business NameROPER HOSPITAL, INC.
Location Address300 CALLEN BLVD STE 220Summerville, SC 29486-2816
Mailing AddressPo Box 751649Charlotte, NC 28275-1649 · (888) 472-0043 · Fax (843) 724-2454
Phone(843) 724-2289
Fax(843) 606-8038
Organization SubpartNo
Authorized OfficialWilliam Anthony JacksonCeo · (843) 724-2954
Enumeration DateNovember 2, 2016
Last NPPES UpdateMarch 17, 20248 updates tracked since enumeration
NPPES CertifiedMarch 17, 2024
✔ NPI 1205388618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0011X
Definition
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
300 CALLEN BLVD STE 220, Summerville, SC 29486
Open in Google Maps ↗

Other Names 1

Doing Business AsVascular Medicine And Wound Management Clinic

Other Identifiers 1

MedicaidGP7573SC

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vascular Medicine And Wound Management Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

139

Medicare enrollment records show 139 clinicians reassign Medicare billing to Vascular Medicine And Wound Management Clinic, which bills Medicare for the services they deliver. Of these, 22 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 22

Nurse Practitioner48
Cardiovascular Disease (Cardiology)22
Internal Medicine12
Pulmonary Disease12
Family Practice5
Vascular Surgery5
Infectious Disease4
Interventional Cardiology4
14 other specialties27

Nearest to this location (20)

See all 139
Grace Cross
Nurse Practitioner
NPI 1740994151
100 CALLEN BLVD
Summerville, SC 29486
(843) 572-3330
✔ PECOS✔ Accepts Medicare0.1 mi
Caroline Strange, FNP
Nurse Practitioner
NPI 1609536002
3508 S LIVE OAK DR
Moncks Corner, SC 29461
(843) 534-1770
✔ PECOS✔ Accepts Medicare0.6 mi
Corynne Boyer, D.O.
Internal Medicine
NPI 1912138983
110B SPRINGHALL DR
Goose Creek, SC 29445
(843) 491-9960
✔ PECOS✔ Accepts Medicare5.7 mi
Jacquelyn Ammons, ACNP
Nurse Practitioner
NPI 1669965810
9330 MEDICAL PLAZA DR
Charleston, SC 29406
(843) 847-4876
✔ PECOS✔ Accepts Medicare6.5 mi
Stephanie Driggers, NP
Nurse Practitioner
NPI 1225626708
9150 MEDCOM ST STE B
North Charleston, SC 29406
(843) 572-3330
✔ PECOS✔ Accepts Medicare6.6 mi
Jared Intaphan, M.D.
Pulmonary Disease
NPI 1639486160
9150 MEDCOM ST STE B
North Charleston, SC 29406
(843) 572-3330
✔ PECOS✔ Accepts Medicare6.6 mi
Thomas Kaelin, DO
Pulmonary Disease
NPI 1740280841
9150 MEDCOM ST. STE B
N Charleston, SC 29406
(843) 871-4006
✔ PECOS✔ Accepts Medicare6.6 mi
Sola Kim, M.D.
Internal Medicine
NPI 1508864968
9150 MEDCOM ST STE B
N Charleston, SC 29406
(843) 572-3330
✔ PECOS✔ Accepts Medicare6.6 mi
Morgan Rubenstein, MSN, APRN, AGACNP-BC
Nurse Practitioner
NPI 1487297420
9150 MEDCOM ST STE B
North Charleston, SC 29406
(843) 572-3330
✔ PECOS✔ Accepts Medicare6.6 mi
John Rucker, MD
Pulmonary Disease
NPI 1568462661
9150 MEDCOM ST STE B
North Charleston, SC 29406
(843) 572-3330
✔ PECOS✔ Accepts Medicare6.6 mi
Leslie Wilke, D.O.
Internal Medicine
NPI 1548460744
9150 MEDCOM ST. STE B
N Charleston, SC 29406
(843) 871-4006
✔ PECOS✔ Accepts Medicare6.6 mi
Thomas Appleby, M.D.
Vascular Surgery
NPI 1801985007
2575 ELMS CENTER RD STE 200
North Charleston, SC 29406
(843) 724-1950
✔ PECOS✔ Accepts Medicare6.6 mi
William Ashwander, M.D.
Vascular Surgery
NPI 1649414970
2575 ELMS CENTER RD STE 200
North Charleston, SC 29406
(843) 724-1950
✔ PECOS✔ Accepts Medicare6.6 mi
Kenneth Desart, M.D.
Vascular Surgery
NPI 1154556603
2575 ELMS CENTER RD STE 200
North Charleston, SC 29406
(843) 724-1950
✔ PECOS✔ Accepts Medicare6.6 mi
William Gaillard, MD
Vascular Surgery
NPI 1619315918
2575 ELMS CENTER RD STE 200
North Charleston, SC 29406
(843) 724-1950
✔ PECOS✔ Accepts Medicare6.6 mi
Kimberly Richardson, APRN
Nurse Practitioner
NPI 1336741560
9165 UNIVERSITY BLVD STE 200
North Charleston, SC 29406
(843) 724-1950
✔ PECOS✔ Accepts Medicare6.6 mi
Melinda Talley, MD
Pulmonary Disease
NPI 1922637735
9150 MEDCOM ST STE B
North Charleston, SC 29406
(843) 572-3330
✔ PECOS6.6 mi
Nancey Tsai, MD
Physical Medicine and Rehabilitation
NPI 1205938040
58 N BASILICA AVE
Hanahan, SC 29410
(206) 295-3621
✔ PECOS✔ Accepts Medicare7.4 mi
William Largen, MD
Infectious Disease
NPI 1336435205
1520 OLD TROLLEY RD STE 101
Summerville, SC 29485
(843) 402-0227
✔ PECOS✔ Accepts Medicare8.2 mi
Laurie Tomlin
Mental Health Counselor
NPI 1083181424
810 TRAVELERS BLVD STE D2
Summerville, SC 29485
(843) 212-6405
✔ PECOS✔ Accepts Medicare8.9 mi
See all 139 clinicians

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 Roper Hospital, Inc.'s NPI number?

The NPI number for Roper Hospital, Inc. is 1205388618. It was assigned to this organization in the NPPES registry on November 2, 2016. The provider is doing business as Vascular Medicine And Wound Management Clinic.

Where is Roper Hospital, Inc. located?

Roper Hospital, Inc. is located at 300 Callen Blvd Ste 220, Summerville, SC 29486. The listed phone number is (843) 724-2289.

What is Roper Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 2083P0011X.

Is Roper Hospital, Inc. enrolled in Medicare?

Yes. Roper Hospital, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roper Hospital, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 139 clinicians in 22 Medicare specialties reassign their Medicare billing to Roper Hospital, Inc.. 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. The largest specialties are Nurse Practitioner (48), Cardiovascular Disease (Cardiology) (22) and Internal Medicine (12). Of these, 22 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Roper Hospital, Inc. accept?

Health plans from First Choice Next list Roper Hospital, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roper Hospital, Inc. was last updated on March 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.