Organization Active NPI

Lowcountry Medical Associates

  • Specialist
  • Charleston, SC
National Provider Identifier
1124079645
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LOWCOUNTRY MEDICAL ASSOCIATES
Practice address
2270 Ashley Crossing Dr
Suite 165
Charleston, SC 29414-5732
Phone
(843) 763-9472
NPI assigned
May 12, 2006
Organization subpart
Yes
Parent organization
LOWCOUNTRY MEDICAL ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Linda C Shoemaker
Title
Coo
Phone
(843) 937-8101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X SC Primary

Addresses

Primary practice location

2270 Ashley Crossing Dr
Suite 165
Charleston, SC 29414-5732

Mailing address

2270 Ashley Crossing Dr
Suite 165
Charleston, SC 29414-5732
Phone (843) 763-9472

Other identifiers 1

IdentifierTypeStateIssuer
GP3111MedicaidSC

Other names 1

  • Ashley River Family Physicians Doing business as

National Provider Directory

National Provider Directory
Part of
R Scott Thompson MD

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1124079645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 ASHLEY CROSSING DR",
            "address_2": "SUITE 165",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145732",
            "telephone_number": "843-763-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 ASHLEY CROSSING DR",
            "address_2": "SUITE 165",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145732",
            "telephone_number": "843-763-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY MEDICAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOWCOUNTRY MEDICAL ASSOCIATES",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "843-937-8101"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3111",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashley River Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.