Danielle Davis Decourcey, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

86850 Issued in SC

Practice address

4975 Lacross Road Suite 150
North Charleston, SC 29406-1110

Phone

(843) 737-9467

NPI assigned

Apr 28, 2018

Last updated

Jun 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: danielle.decourcey.1@1152.direct.athenahealth.com
• Direct secure messaging: ddecourcey458395@direct.musc.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolina Family Care, Inc

  dba MUSC Physicians PCP

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1184655722

  Pediatrics

  Medicare reassignment NPD
• Carolina Family Care, Inc

  dba MUSC Physicians Primary Care

  • Pediatrics Physician
  • Charleston, SC
  • NPI 1003846783
  NPD
• Coastal Pediatric Associates, P.a.

  • Pediatrics Physician
  • Charleston, SC
  • NPI 1770700759
  NPD
• Carolina Family Care, Inc

  dba MUSC Physicians PCP

  • Pediatrics Physician
  • Charleston, SC
  • NPI 1750318101
  NPD (past)
• Allentown Pediatric and Adolescent Medicine

  • Pediatric Adolescent Medicine Physician
  • Buffalo, NY
  • NPI 1598729808
  NPD (past)
• Wells Gastroenterology PLLC

  • Gastroenterology Physician
  • Amherst, NY
  • NPI 1144391772
  NPD (past)

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

{
    "created_epoch": "1524873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1073001632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4975 LACROSS ROAD SUITE 150",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "29406",
            "telephone_number": "843-737-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4975 LACROSS ROAD SUITE 150",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294061110",
            "telephone_number": "843-737-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOURCEY",
        "first_name": "DANIELLE",
        "middle_name": "DAVIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-28",
        "last_updated": "2023-06-26",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "308417",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "86850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Deane
• Riley Deaton
• Sumita Kumari Debroy, MD
• Katie Decker-Fisk
• Mary K Decker, PA
• Bethany M Deford, RN, MPH, BSN
• Mark Deford, M.D.
• Stacey E Defrank, R.N.
• Kimberly Dehlbom, DC
• Daniela Delgado

• Pediatrics Physician in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.