OrganizationActive
Advantage Healthcare of Charleston LLC
NPI 1790086726 · General Practice Physician · Goose Creek, SC
Provider details
- NPI number
- 1790086726
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chris Gray, President(843) 553-2211
- License
- 28866 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
122 S Goose Creek Blvd
Suite B
Goose Creek, SC 29445-3136
Phone: (843) 553-2211
Fax: (843) 553-2210
Street-level locationGet directions
Mailing address
122 S. Goose Creek Blvd
Goose Creek, SC 29445-0488
Registry dates
- Enumerated
- 2010-11-08
- Last updated
- 2020-01-24
- Certified
- 2020-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.