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TIDEWATER NEUROLOGY
NPI 1962454124
Specialist in Mt Pleasant, SC

Active since May 16, 2006
913 B BOWMAN RD, MT PLEASANT, SC 29464(843) 856-9530(843) 971-1345 Get Directions Write a Review

NPPES record last updated: November 30, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tidewater Neurology NPPES

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

TIDEWATER NEUROLOGY (NPI 1962454124) is a healthcare organization registered as a specialist in Mt Pleasant, South Carolina and active in the NPI registry since May 2006. The organization lists Thomas Sanders Hughes, Owner, as its authorized official.

NPPES Registry Identity

NPI1962454124
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTIDEWATER NEUROLOGY
Location Address913 B BOWMAN RDMt Pleasant, SC 29464-3235
Mailing Address913 B Bowman RdMt Pleasant, SC 29464-3235 · (843) 856-9530 · Fax (843) 971-1345
Phone(843) 856-9530
Fax(843) 971-1345
Organization SubpartNo
Authorized OfficialThomas Sanders HughesOwner · (843) 856-9530
Enumeration DateMay 16, 2006
Last NPPES UpdateNovember 30, 2007
✔ NPI 1962454124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in SC · 19697
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
913 B BOWMAN RD, Mt Pleasant, SC 29464
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Other Identifiers 2

MedicaidGP4157SC
Medicare PIN8249SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Tidewater Neurology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Tidewater Neurology, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Thomas Hughes, MD
Neurology
NPI 1831379213
913 B BOWMAN RD
Mt. Pleasant, SC 29464
(843) 856-9530
✔ PECOS✔ Accepts MedicareSame address
Charles Kelly, M.D.
Neurology
NPI 1760402473
913 BOWMAN RD # B
Mt Pleasant, SC 29464
(843) 856-9530
✔ PECOS✔ Accepts MedicareSame address
Robert Bolen, M.D.
Neurology
NPI 1568751717
MEDICAL UNIVERSITY OF SOUTH CAROLINA 96 JONATHAN LUCAS STREET, CSB 301
Charleston, SC 29425
(843) 792-3221
✔ PECOS✔ Accepts Medicare5.6 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 Tidewater Neurology's NPI number?

The NPI number for Tidewater Neurology is 1962454124. It was assigned to this organization in the NPPES registry on May 16, 2006.

Where is Tidewater Neurology located?

Tidewater Neurology is located at 913 B Bowman Rd, Mt Pleasant, SC 29464. The listed phone number is (843) 856-9530.

What is Tidewater Neurology's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Tidewater Neurology enrolled in Medicare?

Yes. Tidewater Neurology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tidewater Neurology?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Neurology, reassign their Medicare billing to Tidewater Neurology. 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. Of these, 2 practice at this address and 3 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 Tidewater Neurology was last updated on November 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.