Individual provider Active NPI

Maggie Wolman Evans, MD

  • Obstetrics & Gynecology Physician
  • Mt Pleasant, SC
National Provider Identifier
1003832155
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
TL28961 Issued in SC
Practice address
851 Leonard Fulghum Blvd
Suite 201
Mt Pleasant, SC 29464-3787
Phone
(843) 884-5133
Fax
(843) 849-3343
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X TL28961 SC Primary

Addresses

Primary practice location

851 Leonard Fulghum Blvd
Suite 201
Mt Pleasant, SC 29464-3787

Mailing address

851 Leonard Fulghum Blvd
Suite 201
Mt Pleasant, SC 29464-3787
Phone (843) 884-5133

Other practice location 1

903 N Fraser St Ste B
Georgetown, SC 29440-2879
Phone (843) 884-5133

Other practice location 2

10A Farmfield Ave Ste A
Charleston, SC 29407-7704
Phone (843) 884-5133

Other practice location 3

880 Island Park Dr Unit 210
Daniel Island, SC 29492-2902
Phone (843) 884-5133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060811000148 SC Practitioner - Obstetrics/Gynecology 5890798870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical University of South Carolina College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Cooper Physician Group LLC 126 clinicians

Practice addresses (Care Compare)

880 Island Park Dr
Unit 230
Daniel Island, SC 29492-2902
Phone (843) 380-9330

Hospital & facility affiliations

  • Novant Health East Cooper Medical Center Hospital, Mount Pleasant, SC, CCN 420089
  • Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065
  • Mount Pleasant Hospital Hospital, Mount Pleasant, SC, CCN 420104
  • Trident Medical Center Hospital, Charleston, SC, CCN 420079
  • Roper Hospital Hospital, Charleston, SC, CCN 420087

Merit-based Incentive Payment System (MIPS)

Final score
84.63 of 100Reported as group
Quality
80.11
Promoting interoperability
100
Improvement activities
40
Cost
68.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (4 of 7)

OrganizationSpecialtyStatusNew patients
East Cooper Physician Group LLC CurrentSince Feb 1, 2024 Accepting new patients
East Cooper Physician Group LLC CurrentSince Feb 1, 2024 Accepting new patients
Tenet South Carolina Lowcountry OB GYN, LLC Obstetrics & Gynecology Past Accepting new patients
East Cooper Physician Group LLC Past Accepting new patients

Locations

10 Farmfield Ave
Ste A
Charleston, SC 29407
Phone (843) 884-5133

880 Island Park Dr
Unit 210
Daniel Island, SC 29492
Phone (843) 883-1007

880 Island Park Dr
Unit 230
Daniel Island, SC 29492
Phone (843) 380-9330

851 Leonard Fulghum Dr
Ste 201
Mt Pleasant, SC 29464
Phone (843) 884-5133

851 Leonard Fulghum Dr
Ste 101
Mt Pleasant, SC 29464
Phone (843) 884-2133

3400 Salterbeck St
Ste 100B
Mt Pleasant, SC 29466
Phone (843) 856-3262

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3

Interoperability endpoints

  • Direct secure messaging: maggie.evans.1@30548.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Novant Health East Cooper Medical CenterMount Pleasant, SC, CCN 420089 Hospital Corporate Director Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1003832155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 LEONARD FULGHUM BLVD",
            "address_2": "SUITE 201",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643787",
            "telephone_number": "843-884-5133",
            "fax_number": "843-849-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 LEONARD FULGHUM BLVD",
            "address_2": "SUITE 201",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643787",
            "telephone_number": "843-884-5133",
            "fax_number": "843-849-3343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 N Fraser St Ste B",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "SC",
            "postal_code": "294402879",
            "country_code": "US",
            "telephone_number": "843-884-5133",
            "fax_number": "843-849-3343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10A Farmfield Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294077704",
            "country_code": "US",
            "telephone_number": "843-884-5133",
            "fax_number": "843-849-3343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "880 Island Park Dr Unit 210",
            "address_purpose": "LOCATION",
            "city": "Daniel Island",
            "state": "SC",
            "postal_code": "294922902",
            "country_code": "US",
            "telephone_number": "843-884-5133",
            "fax_number": "843-849-3343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MAGGIE",
        "middle_name": "WOLMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "TL28961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

Verify at the official NPI Registry.