Angel Oak Family Medicine LLC
NPI 1902083058 · Rural Health Clinic/Center · Johns Island, SC
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Angel Oak Family Medicine LLC is a Rural Health Clinic/Center organization in Johns Island, SC (NPI 1902083058).
Provider details
- NPI number
- 1902083058
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jacqueline Baer, Provider(843) 559-1938
- License
- RHC153 (SC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Registry dates
- Enumerated
- 2008-01-30
- Last updated
- 2012-12-06
Frequently asked questions
- What is Angel Oak Family Medicine LLC's NPI number?
- Angel Oak Family Medicine LLC's National Provider Identifier (NPI) is 1902083058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Angel Oak Family Medicine LLC?
- Angel Oak Family Medicine LLC is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Angel Oak Family Medicine LLC located?
- Angel Oak Family Medicine LLC's practice location on file with NPPES is 1816 Bohicket Rd Ste F, Johns Island, SC 29455-3318.
- What is Angel Oak Family Medicine LLC's phone number?
- The practice phone number listed in the NPPES registry for Angel Oak Family Medicine LLC is (843) 559-1938.
- Does Angel Oak Family Medicine LLC accept Medicare?
- Angel Oak Family Medicine LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Angel Oak Family Medicine LLC?
- The authorized official listed on Angel Oak Family Medicine LLC's NPPES record is Jacqueline Baer, Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Angel Oak Family Medicine LLC's NPI active?
- Yes — Angel Oak Family Medicine LLC's NPI (1902083058) is active in the NPPES registry as of the last update on 2012-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.