Individual provider Active NPI

Zakihia Moultrie, NP

  • Family Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1053110932
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30110 Issued in SC
Practice address
2048 Charlie Hall Blvd
Charleston, SC 29414-5830
Phone
(843) 804-6010
Fax
(843) 804-6011
NPI assigned
Mar 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 30110 SC Primary

Addresses

Primary practice location

2048 Charlie Hall Blvd
Charleston, SC 29414-5830

Mailing address

2048 Charlie Hall Blvd
Charleston, SC 29414-5830
Phone (843) 804-6010

Other practice location 1

2679 Lake Park Dr
North Charleston, SC 29406-9100
Phone (843) 804-6010

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250513001170 SC Practitioner - Nurse Practitioner 2961920079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sea Island Medical CareGroup PAC ID 0941540819, 8 clinicians

Practice addresses (Care Compare)

2114 Hwy 41
Suite 105
Mt Pleasant, SC 29466-6204
Phone (843) 388-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Island Medical Care CurrentSince Apr 15, 2025 Accepting new patients

Locations

2114 Highway 41
Ste 105
Mt Pleasant, SC 29466
Phone (843) 388-9000

1241 Woodland Ave
Mt Pleasant, SC 29464
Phone (843) 881-4020

Organizations & group practices 1

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": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1053110932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2048 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145830",
            "telephone_number": "843-804-6010",
            "fax_number": "843-804-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2048 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145830",
            "telephone_number": "843-804-6010",
            "fax_number": "843-804-6011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2679 Lake Park Dr",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294069100",
            "country_code": "US",
            "telephone_number": "843-804-6010",
            "fax_number": "843-804-6011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOULTRIE",
        "first_name": "ZAKIHIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-12",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "30110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.