Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHARLES DAVID TOLLISON PHD
NPI 1710900964
Psychologist - Clinical in Spartanburg, SC

Q: What is Charles Tollison's NPI number?

The NPI number for Charles Tollison is 1710900964. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is Charles Tollison's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Charles Tollison was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.

Active since July 26, 2006PECOS Enrolled

1330 BOILING SPRINGS RD STE 1600, SPARTANBURG, SC 29303(864) 582-6396(864) 542-2939 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Charles David Tollison Phd NPPES

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

CHARLES DAVID TOLLISON PHD (NPI 1710900964) is an individual clinical provider in Spartanburg, South Carolina, licensed in South Carolina (293) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Greenville, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1710900964

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameCHARLES DAVID TOLLISONCredential: PHD

Location Address1330 BOILING SPRINGS RD STE 1600Spartanburg, SC 29303-4219

Mailing Address1330 Boiling Springs Rd Ste 1600Spartanburg, SC 29303-4219 · (864) 582-6396 · Fax (864) 542-2939

Phone(864) 582-6396

Fax(864) 542-2939

Sole ProprietorNo

Medical School CMSOtherGraduated 1979

Enumeration DateJuly 26, 2006

Last NPPES UpdateAugust 28, 2026

NPPES CertifiedAugust 28, 2026

✔ NPI 1710900964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in SC · 293

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1330 BOILING SPRINGS RD STE 1600, Spartanburg, SC 29303

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Secondary Practice Location 1

Location 1220 Roper Mountain Road ExtGreenville, SC 29615-4886 · Phone (864) 582-6396 · Fax (864) 542-2939

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles David Tollison Phd 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.

PECOS PAC ID446376693

PECOS Enrollment IDI20100925000195

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

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.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

158 services123 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

99 services98 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$163.84 typical visit price

range $53.57 – $163.84

Typical copayment $40.96 (range $13.39 – $40.96)

Most-billed visit code 99205

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NICOLE ELIZABETH LONGO FNP

Nurse Practitioner