NPIMap

Individual provider Active NPI

Julia Killingsworth Isom, D.O.

  • Family Medicine Physician
  • Johns Island, SC
National Provider Identifier
1093163339
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39237 Issued in SC
Practice address
1807 Crowne Commons Way
Johns Island, SC 29455-4931
Phone
(843) 203-2280
Fax
(843) 203-2281
NPI assigned
May 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 39237 SC Primary

Addresses

Primary practice location

1807 Crowne Commons Way
Johns Island, SC 29455-4931

Mailing address

PO Box 632516
Cincinnati, OH 45263-2516
Phone (888) 472-0043

Other identifiers 1

IdentifierTypeStateIssuer
392374MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191021002375 SC Practitioner - Family Practice 2062761240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

180 Wingo Way
Suite 207
Mt Pleasant, SC 29464-1811
Phone (843) 884-5101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
39237SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network Current Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Oct 28, 2019 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Oct 28, 2019 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients

Locations

1807 Crowne Commons Way
Johns Island, SC 29455
Phone (843) 203-2280

180 Wingo Way
Ste 207
Mt Pleasant, SC 29464
Phone (843) 884-5101

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

Interoperability endpoints

  • Direct secure messaging: jisom1236560@direct.bsmhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1093163339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632516",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632516",
            "telephone_number": "888-472-0043",
            "fax_number": "513-653-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 CROWNE COMMONS WAY",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554931",
            "telephone_number": "843-203-2280",
            "fax_number": "843-203-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISOM",
        "first_name": "JULIA",
        "middle_name": "KILLINGSWORTH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "39237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "392374",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Island, SC

Sources for this page

Verify at the official NPI Registry.