Active NPI
Mt Pleasant Family Practice,PA
- Family Medicine Physician
- Mount Pleasant, SC
National Provider Identifier
1063408979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MT PLEASANT FAMILY PRACTICE,PA
- Practice address
- 900 Bowman Rd
Suite 203
Mt Pleasant, SC 29464-3203 - Phone
- (843) 884-1341
- Fax
- (843) 884-1345
- NPI assigned
- Sep 26, 2005
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sharon Rogers Owens
- Title
- Manager
- Phone
- (843) 884-1341
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
900 Bowman Rd
Suite 203
Mt Pleasant, SC 29464-3203
Mailing address
900 Bowman Rd
Suite 203
Mt Pleasant, SC 29464-3203
Phone (843) 884-1341
National Provider Directory
National Provider Directory- Tax ID family
- Lowcountry Medical Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Mount Pleasant, SC
- NPI 1093732869
Locations
900 Bowman Rd
Ste 203
Mt Pleasant, SC 29464
Phone (843) 884-1341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1063408979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 BOWMAN RD",
"address_2": "SUITE 203",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643203",
"telephone_number": "843-884-1341",
"fax_number": "843-884-1345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 BOWMAN RD",
"address_2": "SUITE 203",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643203",
"telephone_number": "843-884-1341",
"fax_number": "843-884-1345"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MT PLEASANT FAMILY PRACTICE,PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "OWENS",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "ROGERS",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "843-884-1341",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
- Mt Pleasant Dermatology
- Mt Pleasant Endodontics LLC
- Mt Pleasant Eye Surgeons LLC
- Mt Pleasant Family Health Group
- Mt Pleasant Family Practice Associates
- Mt Pleasant Oakdale II Alf LLC (Sweetgrass Village Assisted Living Community)
- Mt Pleasant Ophthalmology (Mt Pleasant Optical)
- Mt Pleasant Ophthalmology
- Mt. Pleasant Anesthesia Associates, PA
- Mt. Pleasant Chiropractic Center
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.