MUSC HEALTH CENTERSPACE
NPI 1851541221
Pediatrics in Charleston, SC

Active since September 23, 2008CLIA 42D2176037 · Certificate of Compliance
1470 TOBIAS GADSON BLVD STE 107, CHARLESTON, SC 29407(843) 876-1193 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pediatrics
  • Accepts Insurance
  • CLIA Number: 42D2114087
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-06-2026

About MUSC HEALTH CENTERSPACE

This page provides the complete NPI Profile along with additional information for Musc Health Centerspace, a pediatrician established in Charleston, South Carolina operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1851541221 assigned on September 2008. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Musc Health Centerspace operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Musc Health Centerspace. The authorized official of this NPI record is Karyn Rae (Director)

NPI
1851541221 Verify this NPI
Provider Legal Name
CAROLINA FAMILY CARE
Other Organization Name
MUSC HEALTH CENTERSPACE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1470 TOBIAS GADSON BLVD STE 107 CHARLESTON, SC 29407
Location Phone
(843) 876-1193
Mailing Address
PO BOX 602108 CHARLOTTE, NC 28260
Mailing Phone
(284) 284-6555
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-23-2008
Last Update Date
11-27-2024
Code Navigator

A pediatrician like Musc Health Centerspace is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze with Atrium Health - HMO
  • Blue Beaufort Bronze 1 - HMO
  • Blue Beaufort Bronze 2 - HMO
  • Blue Beaufort Gold 1 - HMO
  • Blue Beaufort Silver 1 - HMO
  • Blue Beaufort Silver 2 - HMO
  • Blue Beaufort Silver 2 + Adult Vision - HMO
  • Blue Beaufort Standard Expanded Bronze - HMO
  • Blue Beaufort Standard Gold - HMO
  • Blue Beaufort Standard Silver - HMO
  • Blue Congaree Bronze 1 - HMO
  • Blue Congaree Bronze 2 - HMO
  • Blue Congaree Gold 1 - HMO
  • Blue Congaree Silver 1 - HMO
  • Blue Congaree Silver 2 - HMO
  • Blue Congaree Silver 2 + Adult Vision - HMO
  • Blue Congaree Standard Expanded Bronze - HMO
  • Blue Congaree Standard Gold - HMO
  • Blue Congaree Standard Silver - HMO
  • Blue Cooper Bronze 1 - HMO
  • Blue Cooper Bronze 2 - HMO
  • First Choice Next Bronze Essential - HMO
  • First Choice Next Bronze Premier - HMO
  • First Choice Next Bronze Signature - HMO
  • First Choice Next Gold Premier - HMO
  • First Choice Next Gold Signature - HMO
  • First Choice Next Silver Essential - HMO
  • First Choice Next Silver Premier - HMO
  • First Choice Next Silver Signature - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Gold Value - HMO
  • Molina Gold Value Plus with Adult Dental and Vision - HMO
  • Molina Gold Value Plus with Adult Vision - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver - HMO
  • Molina Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KARYN RAE

Authorized Official Title
DIRECTOR
Authorized Official Phone
(843) 876-1344

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D2114087
Facility Type
Physician Office
Certificate Effective Date
June 07, 2024
Certificate Expiration Date
June 06, 2026
Laboratory Director
RICHARD FRIEDMAN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Musc Health Centerspace in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for MUSC HEALTH CENTERSPACE

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
1470 TOBIAS GADSON BLVD STE 107
CHARLESTON, SC 29407

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851541221, enumerated as an "organization" on September 23, 2008.

The provider is located at 1470 TOBIAS GADSON BLVD STE 107 CHARLESTON, SC 29407 and the phone number is (843) 876-1193.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.