GARY FLETCHER HEADDEN M.D.
NPI 1720196777
Emergency Medicine in Charleston, SC

Q: What is Gary Headden's NPI number?

The NPI number for Gary Headden is 1720196777. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Q: What is Gary Headden's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Headden was last updated on August 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 29, 2006PECOS Enrolled

171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: August 30, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 30, 2018, Nov 3, 2016 (2 updates tracked since 2016).

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About Gary Fletcher Headden M.d. NPPES

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

GARY FLETCHER HEADDEN M.D. (NPI 1720196777) is an individual emergency medicine provider in Charleston, South Carolina, licensed in South Carolina (15574) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720196777

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameGARY FLETCHER HEADDENCredential: M.D.

Location Address171 ASHLEY AVECharleston, SC 29425-8908

Mailing Address1341 College Park Rd, Ste ASummerville, SC 29486-8635 · (843) 400-0028 · Fax (843) 790-8449

Phone(843) 792-1414

Sole ProprietorNo

Enumeration DateAugust 29, 2006

Last NPPES UpdateAugust 30, 20182 updates tracked since enumeration

✔ NPI 1720196777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in SC · 15574

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

171 ASHLEY AVE, Charleston, SC 29425

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Other Identifiers 1

Medicaid155744SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary Fletcher Headden M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Gary Headden reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Medical Associates

Same address

Pediatric Emergency Medicine

171 ASHLEY AVE
Charleston, SC 29425

Reassigned Medicare billing, South Carolina enrollment
Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
2,594 clinicians in this Medicare group

NPI 1548413453 (843) 792-1414

Seaside Family Medicine, LLC

20 mi

Family Medicine

1341 COLLEGE PARK RD # A
Summerville, SC 29486

Reassigned Medicare billing, South Carolina enrollment
7 clinicians in this Medicare group

NPI 1043707557 (843) 400-0028

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

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.

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