DR. JUSTIN E GALLAGHER MD
NPI 1760002232
General Practice in Goose Creek, SC

Q: What is Justin Gallagher's NPI number?

The NPI number for Justin Gallagher is 1760002232. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Q: What is Justin Gallagher's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Gallagher was last updated on May 20, 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.

Active since April 24, 2020PECOS Enrolled

110 NNPTC CIR, GOOSE CREEK, SC 29445(843) 794-6649 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 27, 2021, Apr 24, 2020 (2 updates tracked since 2020).

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About Dr. Justin E Gallagher Md NPPES

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

DR. JUSTIN E GALLAGHER MD (NPI 1760002232) is an individual general practice provider in Goose Creek, South Carolina, licensed in South Carolina (MMD.86522) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760002232

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. JUSTIN E GALLAGHERCredential: MD

Location Address110 NNPTC CIRGoose Creek, SC 29445-6314

Mailing Address110 Nnptc CirGoose Creek, SC 29445-6314 · (843) 794-6649

Phone(843) 794-6649

Sole ProprietorNo

Enumeration DateApril 24, 2020

Last NPPES UpdateMay 20, 20242 updates tracked since enumeration

NPPES CertifiedMay 20, 2024

✔ NPI 1760002232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in SC · MMD.86522

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedMilitary Health Care ProviderTaxonomy 171000000X

110 NNPTC CIR, Goose Creek, SC 29445

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Justin E Gallagher Md 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.

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.

MR. ANDREW T DARRAH PA-C

Physician Assistant