Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jerry G Back, MD

Individual provider Internal Medicine Physician · NPI 1821181868

Dr. Jerry G Back, MD is an Internal Medicine in North Charleston, South Carolina. Qualified in 1987, 39 years ago. Practices with East Cooper Physician Group LLC, a 116-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
39
Licensed in
SC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2845 Tricom St
North Charleston, SC 29406-9172
Phone: (843) 863-8100
Fax: (843) 553-2122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 30658 (SC)

Record details

NPI number1821181868
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESJanuary 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice East Cooper Physician Group Llc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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