1. Home
  2. Directory
  3. South Carolina
  4. Charleston
  5. Internal Medicine
  6. NPI Profile

BON SECOURS ST FRANCIS XAVIER HOSPITAL, INC.
NPI 1740502822
Internal Medicine - Cardiovascular Disease in Charleston, SC

Active since February 17, 2010
2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414(843) 789-1620 Get Directions Write a Review

NPPES record last updated: April 5, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bon Secours St Francis Xavier Hospital, Inc. NPPES

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

BON SECOURS ST FRANCIS XAVIER HOSPITAL, INC. (NPI 1740502822) is a healthcare organization registered as a cardiovascular disease in Charleston, South Carolina and active in the NPI registry since February 2010. The organization lists William A. Jackson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1740502822
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameBON SECOURS ST FRANCIS XAVIER HOSPITAL, INC.
Location Address2095 HENRY TECKLENBURG DRCharleston, SC 29414-5733
Mailing AddressPo Box 751649Charlotte, NC 28275-1649 · (843) 789-1620 · Fax (843) 724-2440
Phone(843) 789-1620
Organization SubpartNo
Authorized OfficialWilliam A. JacksonCeo · (843) 724-2952
Enumeration DateFebruary 17, 2010
Last NPPES UpdateApril 5, 2018
✔ NPI 1740502822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
2095 HENRY TECKLENBURG DR, Charleston, SC 29414
Open in Google Maps ↗

Other Identifiers 2

Other9476Medicare Pin
MedicaidGP5369SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Bon Secours St Francis Xavier Hospital, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

374

Medicare enrollment records show 374 clinicians reassign Medicare billing to Bon Secours St Francis Xavier Hospital, Inc., which bills Medicare for the services they deliver. Of these, 106 practice at this address and 249 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 18

Certified Registered Nurse Anesthetist (CRNA)151
Anesthesiology96
Pediatric Medicine34
Nurse Practitioner26
Obstetrics/Gynecology13
Anesthesiology Assistant10
Cardiovascular Disease (Cardiology)10
Pulmonary Disease10
10 other specialties24

Nearest to this location (20)

See all 374
Stephen Slattery, MD
Anesthesiology
NPI 1053468843
2095 HENRY TECKLENBURG DR
Charleston, SC 29414
(843) 402-1436
✔ PECOS✔ Accepts MedicareSame address
Kelsey Collins
Certified Registered Nurse Anesthetist (CRNA)
NPI 1720859267
2095 HENRY TECKLENBURG DR
Charleston, SC 29414
(843) 402-1436
✔ Accepts MedicareSame address
Brittany Dietz, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1114419959
2095 HENRY TECKLENBURG DR
Charleston, SC 29414
(843) 402-1436
✔ Accepts MedicareSame address
Clyde Dunn
Pediatric Medicine
NPI 1508506726
2095 HENRY TECKLENBURG DR
Charleston, SC 29414
(843) 402-1634
✔ PECOSSame address
Robert Eliason, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1871933663
2095 HENRY TECKLENBURG DR
Charleston, SC 29414
(843) 402-1436
✔ Accepts MedicareSame address
Leah Fogle, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1346569035
2095 HENRY TECKLENBURG DR
Charleston, SC 29414
(843) 402-1436
✔ Accepts MedicareSame address
Mary Hartzog, RN
Certified Registered Nurse Anesthetist (CRNA)
NPI 1275370942
2095 HENRY TECKLENBURG DR
Charleston, SC 29414
(843) 792-2300
✔ Accepts MedicareSame address
Amber Henderson, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1316054836
2095 HENRY TECKLENBURG DR
Charleston, SC 29414
(843) 402-1436
✔ Accepts MedicareSame address
Corey Hughes
Anesthesiology
NPI 1952041196
2095 HENRY TECKLENBURG DR
Charleston, SC 29414
(843) 402-1436
✔ PECOS✔ Accepts MedicareSame address
Kelsey Hutto, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1588332209
2095 HENRY TECKLENBURG DR
Charleston, SC 29414
(843) 402-1000
✔ Accepts MedicareSame address
Jose Iglesias, MD
Anesthesiology
NPI 1124581335
2095 HENRY TECKLENBURG DR
Charleston, SC 29414
(843) 402-1436
✔ PECOS✔ Accepts MedicareSame address
Nedda Maltby, MD
Pediatric Medicine
NPI 1205868742
2095 HENRY TECKLENBURG DR
Charleston, SC 29414
(843) 402-1634
✔ PECOS✔ Accepts MedicareSame address
Jessica Taber, WHCNP-BC
Nurse Practitioner
NPI 1174355986
2095 HENRY TECKLENBURG DR
Charleston, SC 29414
(843) 402-2028
✔ PECOS✔ Accepts MedicareSame address
Lauren Tapp, MD
Diagnostic Radiology
NPI 1073133476
2095 HENRY TECKLENBURG DR
Charleston, SC 29414
(843) 402-1634
✔ PECOSSame address
William Bagnal, MD
Anesthesiology
NPI 1003482696
2095 HENRY TECKLENBURG DR
Charleston, SC 29414
(843) 402-1436
✔ PECOS✔ Accepts MedicareSame address
Samuel Baron, MD
Anesthesiology
NPI 1972123065
2095 HENRY TECKLENBURG DR
Charleston, SC 29414
(843) 402-1436
✔ PECOS✔ Accepts MedicareSame address
Julie Chedister, MD
Anesthesiology
NPI 1346863057
2095 HENRY TECKLENBURG DR
Charleston, SC 29414
(843) 402-1436
✔ PECOS✔ Accepts MedicareSame address
Robert Converse, CAA
Anesthesiology Assistant
NPI 1457896375
2095 HENRY TECKLENBURG DR
Charleston, SC 29414
(843) 402-1436
✔ Accepts MedicareSame address
Christopher Depietro, DO
Anesthesiology
NPI 1104402817
2095 HENRY TECKLENBURG DR
Charleston, SC 29414
(843) 402-1436
✔ PECOS✔ Accepts MedicareSame address
Shanna Trahan, PAA
Anesthesiology Assistant
NPI 1700951837
2095 HENRY TECKLENBURG DR
Charleston, SC 29414
(843) 402-1436
✔ Accepts MedicareSame address
See all 374 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 Bon Secours St Francis Xavier Hospital, Inc.'s NPI number?

The NPI number for Bon Secours St Francis Xavier Hospital, Inc. is 1740502822. It was assigned to this organization in the NPPES registry on February 17, 2010.

Where is Bon Secours St Francis Xavier Hospital, Inc. located?

Bon Secours St Francis Xavier Hospital, Inc. is located at 2095 Henry Tecklenburg Dr, Charleston, SC 29414. The listed phone number is (843) 789-1620.

What is Bon Secours St Francis Xavier Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Bon Secours St Francis Xavier Hospital, Inc. enrolled in Medicare?

Yes. Bon Secours St Francis Xavier Hospital, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bon Secours St Francis Xavier Hospital, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 374 clinicians in 18 Medicare specialties reassign their Medicare billing to Bon Secours St Francis Xavier 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 Certified Registered Nurse Anesthetist (CRNA) (151), Anesthesiology (96) and Pediatric Medicine (34). Of these, 106 practice at this address and 249 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bon Secours St Francis Xavier Hospital, Inc. was last updated on April 5, 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.