Active NPI
Maggie Wolman Evans, MD
- Obstetrics & Gynecology Physician
- Mt Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- TL28961
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Bon Secours-St Francis Xavier Hospital
- Mount Pleasant Hospital
- Trident Medical Center
- Roper Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.63 of 100
- Quality
- 80.11
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.65
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (4 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Cooper Physician Group LLC | Current | Accepting new patients | |
| East Cooper Physician Group LLC | Current | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Novant Health East Cooper Medical Center | 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.
-
- General Acute Care Hospital
- Mount Pleasant, SC
- NPI 1841069044
Corporate Director
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.
-
- Body Imaging Physician
- Mt Pleasant, SC
- NPI 1699641571
-
- Internal Medicine Physician
- Summerville, SC
- NPI 1982475604
-
- Obstetrics & Gynecology Physician
- Mt Pleasant, SC
- NPI 1558698621
Obstetrics & Gynecology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
Hospital
-
- General Acute Care Hospital
- Mount Pleasant, SC
- NPI 1841069044
Hospital
-
- General Acute Care Hospital
- Mt Pleasant, SC
- NPI 1255645644
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.