ADVANTAGE HEALTHCARE OF CHARLESTON LLC
NPI 1790086726
General Practice in Goose Creek, SC

Q: What is Advantage Healthcare Of Charleston LLC's specialty?

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

Active since November 08, 2010

122 S GOOSE CREEK BLVD, SUITE B, GOOSE CREEK, SC 29445(843) 553-2211(843) 553-2210 Get Directions Write a Review

NPPES record last updated: January 24, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 24, 2020, Sep 2, 2016 (2 updates tracked since 2016).

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About Advantage Healthcare Of Charleston Llc NPPES

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

ADVANTAGE HEALTHCARE OF CHARLESTON LLC (NPI 1790086726) is a healthcare organization registered as a general practice in Goose Creek, South Carolina and active in the NPI registry since November 2010. The organization lists Chris James Gray, President, as its authorized official.

NPPES Registry Identity

NPI1790086726

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameADVANTAGE HEALTHCARE OF CHARLESTON LLC

Location Address122 S GOOSE CREEK BLVD, SUITE BGoose Creek, SC 29445-3136

Mailing Address122 S. Goose Creek Blvd, Ste BGoose Creek, SC 29445-0488 · (843) 553-2211 · Fax (843) 553-2210

Phone(843) 553-2211

Fax(843) 553-2210

Organization SubpartNo

Authorized OfficialChris James GrayPresident · (843) 553-2211

Enumeration DateNovember 8, 2010

Last NPPES UpdateJanuary 24, 20202 updates tracked since enumeration

✔ NPI 1790086726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in SC · 28866

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

122 S GOOSE CREEK BLVD, Goose Creek, SC 29445

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Other Identifiers 1

OtherAA66739888SC · Medicare Ptan

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advantage Healthcare Of Charleston Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 9 clinicians reassign Medicare billing to Advantage Healthcare Of Charleston LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Eleanor Jenkins-Alford, M.D.

Family Practice

NPI 1689743569

122 S GOOSE CREEK BLVD SUITE B
Goose Creek, SC 29445

(843) 553-2211

✔ PECOS✔ Accepts MedicareSame address

Corey Baumis, FNP-C

Nurse Practitioner

NPI 1518738178

122 S GOOSE CREEK BLVD STE B
Goose Creek, SC 29445

(843) 553-2211

✔ PECOS✔ Accepts Medicare0.7 mi

Hubert Murray, DC

Chiropractic

NPI 1548219173

110A SPRINGHALL DR
Goose Creek, SC 29445

(843) 270-1288

✔ Accepts Medicare1.4 mi

Tammy Hiott, NP-C

Nurse Practitioner

NPI 1962811471

1800 EAGLE LANDING BOULEVARD AGAPE PHYSICIANS CARE AT HEARTLAND OF HANAHAN
Hanahan, SC 29410

(843) 553-0656

✔ PECOS✔ Accepts Medicare2.5 mi

Krystle Huron, FNP-C

Nurse Practitioner

NPI 1497507594

1162A ARNOLD CIR
Charleston Afb, SC 29404

(402) 949-2553

✔ PECOS✔ Accepts Medicare6.1 mi

Michael Johnson, RPT

Physical Therapist in Private Practice

NPI 1770694739

4115 DORCHESTER RD SUITE 100
Charleston, SC 29405

(843) 554-6737

✔ Accepts Medicare9.1 mi

Melissa May, FNP

Nurse Practitioner

NPI 1629302047

2085 HENRY TECKLENBURG DR SUITE 110
Charleston, SC 29414

(843) 958-2664

✔ PECOS12 mi

Julia Keefe, FNP

Nurse Practitioner

NPI 1962154427

187 BUNCH FORD RD
Holly Hill, SC 29059

(803) 655-7010

✔ PECOS✔ Accepts Medicare33 mi

Tiffany Mckeel, APRN

Nurse Practitioner

NPI 1780828293

111 DOCTOR CIR
Columbia, SC 29203

(800) 491-0909

✔ PECOS93 mi

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 Advantage Healthcare Of Charleston LLC's NPI number?

The NPI number for Advantage Healthcare Of Charleston LLC is 1790086726. It was assigned to this organization in the NPPES registry on November 8, 2010.

Where is Advantage Healthcare Of Charleston LLC located?

Advantage Healthcare Of Charleston LLC is located at 122 S Goose Creek Blvd Suite B, Goose Creek, SC 29445. The listed phone number is (843) 553-2211.

What is Advantage Healthcare Of Charleston LLC's specialty?

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

Is Advantage Healthcare Of Charleston LLC enrolled in Medicare?

Yes. Advantage Healthcare Of Charleston LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advantage Healthcare Of Charleston LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Advantage Healthcare Of Charleston LLC. 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 Nurse Practitioner (6), Chiropractic (1) and Family Practice (1). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advantage Healthcare Of Charleston LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Molina Healthcare list Advantage Healthcare Of Charleston LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advantage Healthcare Of Charleston LLC was last updated on January 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.