Organization Active NPI

Harvest Free Medical Clinic

  • Internal Medicine Physician
  • North Charleston, SC
National Provider Identifier
1063367787
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HARVEST FREE MEDICAL CLINIC
Practice address
1670 Dry Dock Ave BLDG 10B
North Charleston, SC 29405-2114
Phone
(843) 747-3526
Fax
(843) 747-3527
NPI assigned
Feb 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Authorized official

Name
Dr. Martin Allen Smith, MDNPI 1518195734
Title
Clinic Director
Phone
(843) 747-3526

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1670 Dry Dock Ave BLDG 10B
North Charleston, SC 29405-2114

Mailing address

1670 Dry Dock Ave BLDG 10B
North Charleston, SC 29405-2114
Phone (843) 747-3526

National Provider Directory

National Provider Directory

Locations

1670 Dry Dock Ave
Bldg 10B
North Charleston, SC 29405
Phone (843) 747-3526

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1772150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1063367787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 DRY DOCK AVE BLDG 10B",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294052114",
            "telephone_number": "843-747-3526",
            "fax_number": "843-747-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 DRY DOCK AVE BLDG 10B",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294052114",
            "telephone_number": "843-747-3526",
            "fax_number": "843-747-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEST FREE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-27",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "843-747-3526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "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 Feb 27, 2026; 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.