Individual provider Active NPI

Mohammed Al Gadban, MD

  • Pediatrics Physician
  • Easley, SC
National Provider Identifier
1043697022
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD38034 Issued in SC
Practice address
1026 Powdersville Rd Ste B
Easley, SC 29642-2417
Phone
(864) 883-9737
Fax
(864) 883-9738
NPI assigned
Apr 29, 2015
Last updated
Jan 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD38034 SC Primary

Addresses

Primary practice location

1026 Powdersville Rd Ste B
Easley, SC 29642-2417

Mailing address

1026 Powdersville Rd Ste B
Easley, SC 29642-2417
Phone (864) 883-9737

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
I20210526000364 SC Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7214246826 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38034SCMDPharmacist
MD38034SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Health Clarendon CurrentSince Oct 18, 2023 Accepting new patients
McLeod Health Clarendon CurrentSince Oct 18, 2023 Accepting new patients
McLeod Health Clarendon Current Accepting new patients
Coastal Pediatric Associates, P.a. Pediatrics CurrentSince Jun 1, 2021 Accepting new patients
Anmed Health Past Accepting new patients

Locations

2051 Charlie Hall Blvd
Charleston, SC 29414
Phone (843) 573-2535

2067 Charlie Hall Blvd
Charleston, SC 29414
Phone (843) 573-2535

10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000

2015 2nd Ave
Ste 101
Summerville, SC 29486
Phone (843) 573-2535

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBJIDD/Endpoint/CBJIDD
  • Direct secure messaging: malgadban@sp.gwaydirect.com
  • Direct secure messaging: malgadban82565@direct.anmedhealth.net
  • Direct secure messaging: malgadban86520@directmcleodehealth.org

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1043697022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 POWDERSVILLE RD STE B",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296422417",
            "telephone_number": "864-883-9737",
            "fax_number": "864-883-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 POWDERSVILLE RD STE B",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296422417",
            "telephone_number": "864-883-9737",
            "fax_number": "864-883-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL GADBAN",
        "first_name": "MOHAMMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-29",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "MD38034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.