NPIMap

Organization Active NPI

Seacoast Pediatrics

  • Legal Medicine
  • Charleston, SC
National Provider Identifier
1053445817
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
19333 Issued in SC
Legal business name
SEACOAST PEDIATRICS
Practice address
776 Daniel Ellis Dr
Suite 2 a
Charleston, SC 29412-3094
Phone
(843) 795-8100
Fax
(843) 722-3010
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Meghan Odom Geils, MDNPI 1457306292
Title
Secretary
Phone
(843) 795-8100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 19333 SC Primary

Addresses

Primary practice location

776 Daniel Ellis Dr
Suite 2 a
Charleston, SC 29412-3094

Mailing address

776 Daniel Ellis Dr
Suite 2 a
Charleston, SC 29412-3094
Phone (843) 795-8100

Other identifiers 1

IdentifierTypeStateIssuer
GP3214MedicaidSC

National Provider Directory

National Provider Directory

Locations

776 Daniel Ellis Dr
Ste 2A
Charleston, SC 29412
Phone (843) 795-8100

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053445817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 DANIEL ELLIS DR",
            "address_2": "SUITE 2 A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123094",
            "telephone_number": "843-795-8100",
            "fax_number": "843-722-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 DANIEL ELLIS DR",
            "address_2": "SUITE 2 A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123094",
            "telephone_number": "843-795-8100",
            "fax_number": "843-722-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACOAST PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEILS",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_middle_name": "ODOM",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "843-795-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "SC",
            "license": "19333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3214",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.