CHARLES G BISHOP JR. MD
NPI 1629053459
Anesthesiology in Glen Carbon, IL
About Charles G Bishop Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES G BISHOP JR. MD (NPI 1629053459) is an individual anesthesiology provider in Glen Carbon, Illinois, licensed in Illinois (036106182) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Satilla Health, and is a graduate of Medical College Of Georgia School Of Medicine (1996).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Charles G Bishop Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
15Medicare enrollment records show Charles Bishop reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Alpharetta, GA 30005
- Reassigned Medicare billing, Georgia enrollment
- 88 clinicians in this Medicare group
Newnan, GA 30265
- Reassigned Medicare billing, Georgia enrollment
- 729 clinicians in this Medicare group
Macon, GA 31201
- Reassigned Medicare billing, Georgia enrollment
- 77 clinicians in this Medicare group
Macon, GA 31201
- Reassigned Medicare billing, Georgia enrollment
- 83 clinicians in this Medicare group
Macon, GA 31201
- Reassigned Medicare billing, Georgia enrollment
- 66 clinicians in this Medicare group
Macon, GA 31201
- Reassigned Medicare billing, Florida enrollment
- 142 clinicians in this Medicare group
Macon, GA 31201
- Reassigned Medicare billing, Georgia enrollment
- 42 clinicians in this Medicare group
Milledgeville, GA 31061
- Reassigned Medicare billing, Georgia enrollment
- 63 clinicians in this Medicare group
Richardson, TX 75082
- Reassigned Medicare billing, Georgia enrollment
- 65 clinicians in this Medicare group
Pensacola, FL 32502
- Reassigned Medicare billing, Georgia enrollment
- 191 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Satilla Health
Acute Care Hospitals · Waycross, GAWayne Memorial Hospital
Acute Care Hospitals · Jesup, GAMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Charles Bishop's NPI number?
The NPI number for Charles Bishop is 1629053459. It was assigned to this individual provider in the NPPES registry on December 14, 2005.
Where is Charles Bishop located?
Charles Bishop practices at 12 Ginger Creek Parkway, Glen Carbon, IL 62034. The listed phone number is (618) 656-8200.
What is Charles Bishop's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Charles Bishop enrolled in Medicare?
Yes. Charles Bishop is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Charles Bishop's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Bishop reassigns Medicare benefits to 15 organizations: Sweet Dreams Nurse Anesthesiology LLC (Alpharetta, GA), Sentry Anesthesia Management, LLC (Newnan, GA), Grand Anesthesia LLC (Macon, GA), Nmda Anesthesia LLC (Macon, GA), Overwatch Anesthesia (Macon, GA) and 10 more organizations, listed in the Medicare section above. Each 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 Charles Bishop's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Charles Bishop affiliated with any hospitals?
According to CMS data, Charles Bishop is affiliated with Memorial Satilla Health and Wayne Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Charles Bishop was last updated on December 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Charles G Bishop Jr., MD · NPI 1629053459
Anesthesiology physician in Glen Carbon, Illinois. Individual provider, active in the CMS NPPES registry since December 14, 2005.
## Identity
- **NPI:** 1629053459 (Entity type: Individual)
- **Enumerated:** December 14, 2005
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 036106182 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12 GINGER CREEK PARKWAY, Glen Carbon, IL 62034
- **Phone:** (618) 656-8200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 15 organizations under Medicare reassignment (form CMS-855R): Sweet Dreams Nurse Anesthesiology LLC (NPI 1891005989, Alpharetta, GA); Sentry Anesthesia Management, LLC (NPI 1134544794, Newnan, GA); Grand Anesthesia LLC (NPI 1689230724, Macon, GA); Nmda Anesthesia LLC (NPI 1306123336, Macon, GA); Overwatch Anesthesia (NPI 1528616810, Macon, GA); and 10 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Georgia School Of Medicine, class of 1996
## Record status
- **NPPES last updated:** December 26, 2014
- **Other identifiers:** Medicare PIN K09608 (IL); Medicaid 036106182 (IL)
---
Source: [NPI Profile](https://npiprofile.com/npi/1629053459) · Data from the CMS NPPES public registry.