NPIMap

Organization Active NPI

Lowcountry Lung & Critical Care PA

  • Specialist
  • North Charleston, SC
National Provider Identifier
1013986017
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LOWCOUNTRY LUNG & CRITICAL CARE PA
Practice address
9150 Medcom St
Ste B
North Charleston, SC 29406-9196
Phone
(843) 572-3330
Fax
(843) 572-1255
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Authorized official

Name
Ms. Vickie Lovell
Title
Billing Supervisor
Phone
(843) 572-3514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X SC Primary

Addresses

Primary practice location

9150 Medcom St
Ste B
North Charleston, SC 29406-9196

Mailing address

9150 Medcom St
Ste B
North Charleston, SC 29406-9196
Phone (843) 572-3330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080821000503 SC Part B Supplier - Clinic/Group Practice 8921173147 Receives reassigned benefits from 11 practitioners
Practice locations: N Charleston, SC

National Provider Directory

National Provider Directory

Locations

1938 Charlie Hall Blvd
Unit A
Charleston, SC 29414
Phone (843) 554-9313

9150 Medcom St
North Charleston, SC 29406

9150 Medcom St
Ste B
North Charleston, SC 29406
Phone (843) 572-3330

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1013986017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 MEDCOM ST",
            "address_2": "STE B",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069196",
            "telephone_number": "843-572-3330",
            "fax_number": "843-572-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 MEDCOM ST",
            "address_2": "STE B",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069196",
            "telephone_number": "843-572-3330",
            "fax_number": "843-572-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY LUNG & CRITICAL CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "LOVELL",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "843-572-3514",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.