Organization Active NPI

Island House Calls LLC

  • Family Medicine Physician
  • Pawley's Island, SC
National Provider Identifier
1093522716
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ISLAND HOUSE CALLS LLC
Practice address
11405 Ocean Hwy Unit 1
Pawleys Island, SC 29585-8339
Phone
(853) 979-4006
Fax
(853) 979-0891
NPI assigned
Dec 16, 2024
Last updated
Dec 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Dr. Thomas N Howard, MDNPI 1609872803
Title
Physician/Owner
Phone
(843) 385-3371

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

11405 Ocean Hwy Unit 1
Pawleys Island, SC 29585-8339

Mailing address

11405 Ocean Hwy Unit 1
Pawleys Island, SC 29585-8339
Phone (853) 979-4006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250922000296 SC Part B Supplier - Clinic/Group Practice 8022512128 Receives reassigned benefits from 1 practitioner
Practice locations: Pawleys Island, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2337274Island House Calls LLC11405 Ocean Hwy Unit 1, Pawleys Island, SC 29585Certificate of waiverJan 20, 2028

National Provider Directory

National Provider Directory

Locations

11405 Ocean Hwy
Unit 1
Pawleys Island, SC 29585
Phone (843) 979-4006

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1093522716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11405 OCEAN HWY UNIT 1",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295858339",
            "telephone_number": "853-979-4006",
            "fax_number": "853-979-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11405 OCEAN HWY UNIT 1",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295858339",
            "telephone_number": "853-979-4006",
            "fax_number": "853-979-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND HOUSE CALLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "843-385-3371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawley's Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.