Active NPI
Monica Ann Molloy, MSN, APRN, BC, NP
- Psychiatric/Mental Health Nurse Practitioner
- Mt Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 3046
- Practice address
- 1470 Ben Sawyer Blvd
Waterside Medical Group
Mt Pleasant, SC 29464 - Phone
- (843) 972-0262
- NPI assigned
- Nov 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3046 | SC | Primary |
Addresses
Primary practice location
1470 Ben Sawyer Blvd
Waterside Medical Group
Mt Pleasant, SC 29464
Mailing address
1470 Ben Sawyer Blvd
Waterside Medical Group
Mt Pleasant, SC 29464
Phone (843) 972-0262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190166 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Carolina Health Systems PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Lowcountry Wellness Center LLC | Current | Accepting new patients |
Locations
1065 NE 125th St
Ste 300
North Miami, FL 33161
Phone (305) 891-0050
1483 Tobias Gadson Blvd
Ste 107
Charleston, SC 29407
Phone (843) 402-0367
1483 Tobias Gadson Blvd
Ste 201
Charleston, SC 29407
Phone (843) 745-5153
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- Charleston, SC
- NPI 1346488251
Psychiatric/Mental Health
-
- Primary Care Clinic/Center
- Charleston, SC
- NPI 1639604929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438300800000",
"number": "1073795308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1470 BEN SAWYER BLVD",
"address_2": "WATERSIDE MEDICAL GROUP",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "29464",
"telephone_number": "843-972-0262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1470 BEN SAWYER BLVD",
"address_2": "WATERSIDE MEDICAL GROUP",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "29464",
"telephone_number": "843-972-0262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLLOY",
"first_name": "MONICA",
"middle_name": "ANN",
"credential": "MSN, APRN, BC, NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-28",
"last_updated": "2015-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "SC",
"license": "3046",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190166",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.