Organization Active NPI

Mt Pleasant Family Practice,PA

  • Family Medicine Physician
  • Mount Pleasant, SC
National Provider Identifier
1063408979
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2020By the provider in NPPES
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
Ms. Sharon Rogers Owens
Title
Manager
Phone
(843) 884-1341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

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.