The Island Doctor

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

THE ISLAND DOCTOR

Practice address

103 Palm Blvd Ste 2D
Isle of Palms, SC 29451-2165

Phone

(843) 242-7362

NPI assigned

Apr 15, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Scott William Smith, MDNPI 1972550283

Title

President

Phone

(843) 330-3320

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Scott William Smith, M.D.

  • Family Medicine Physician
  • Mount Pleasant, SC
  • NPI 1972550283
  NPD Authorized official

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1053165316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 DELACOURT AVE",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294669252",
            "telephone_number": "843-330-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PALM BLVD STE 2D",
            "city": "ISLE OF PALMS",
            "state": "SC",
            "postal_code": "294512165",
            "telephone_number": "843-242-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ISLAND DOCTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-330-3320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Rice
• Elissa Reilly Slater, BSN RN
• Caroline Sledden, RDN, LDN
• Teeth DS Isle of Palms (Teeth DS IOP Endo Perio)
• Teeth DS Isle of Palms
• Tide Life Therapy LLC (Tide Life Therapy)
• Richard George Wagner Jr., M.D.
• Lindsay Williams, ED.S.

• Family Medicine Physician in Isle of Palms, SC
• Providers in Isle of Palms, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.