NPIMap

Organization Active NPI

Trident Medical Center, LLC

Doing business as HCA Healthcare Live Oak Mental Health and Wellness

  • Psychiatric Hospital Unit
  • Charleston, SC
National Provider Identifier
1124443478
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
TRIDENT MEDICAL CENTER, LLC
Doing business as
HCA Healthcare Live Oak Mental Health and Wellness
Low Country Transitions at HCA Healthcare Trident Hospital
Low Country Transitions at Trident Medical Center
Practice address
9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone
(843) 847-4100
Fax
(843) 847-4086
NPI assigned
Feb 24, 2014
Last updated
Mar 9, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
TRIDENT MEDICAL CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Kevin McKeown
Title
Cfo
Phone
(843) 847-4254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

9330 Medical Plaza Dr
Charleston, SC 29406-9104

Mailing address

9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (843) 847-7000

Other practice location 1

3445 Ingleside Blvd
Ladson, SC 29456-4142
Phone (843) 847-7000

Other names 3

  • HCA Healthcare Live Oak Mental Health and Wellness Doing business as
  • Low Country Transitions at HCA Healthcare Trident Hospital Doing business as
  • Low Country Transitions at Trident Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141112002495 SC Part A Provider - Hospital 3971553587 Practice locations: Ladson, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124443478. Details of each certification follow.

Hospital certification: CCN 42S079

Legal name
TRIDENT MEDICAL CENTER LLC
Doing business as
HCA HEALTHCARE LIVE OAK MENTAL HEALTH AND WELLNESS
Organization structure
LLC
Enrollment address
3445 Ingleside Blvd
Ladson, SC 29456-4142
Hospital Psychiatric Unit
Hospital subgroups
Acute care, Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
42D2281236Live Oak Mental Health and Wellness Dba HCA3445 Ingleside Blvd, Ladson, SC 29456Certificate of waiverMay 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Trident Medical Center LLC17 organizations share this tax ID, including this one
Part of
Trident Medical Center LLC

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

9302 Medical Plaza Dr
Ste A
Charleston, SC 29406
Phone (843) 572-2100

9304 Medical Plaza Dr
Charleston, SC 29406
Phone (843) 820-2020

9313 Medical Plaza Dr
Ste 100
Charleston, SC 29406
Phone (843) 847-5035

3445 Ingleside Blvd
Ladson, SC 29456
Phone (843) 797-4200

9304 Medical Plaza Dr
Ste A
North Charleston, SC 29406
Phone (843) 847-4379

9313 Medical Plaza Dr
Ste 101
North Charleston, SC 29406
Phone (843) 847-3200

9313 Medical Plaza Dr
Ste 103
North Charleston, SC 29406
Phone (843) 790-8280

105 Burton Ave
Ste A
Summerville, SC 29485
Phone (843) 970-5020

105 Burton Ave
Ste Ab
Summerville, SC 29485
Phone (843) 970-5020

105 Burton Ave
Ste B
Summerville, SC 29485
Phone (843) 871-4006

105 Burton Ave
Ste D
Summerville, SC 29485
Phone (843) 832-5379

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
HCA Inc Organization, Nashville, TN For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 28, 2003 100%
Eric D Smith Individual Contracted Managing EmployeeVice President of Reimbursement Mar 1, 2021
HCA Healthcare Inc Organization, Nashville, TN Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 22, 2010 100%
Frisco Holding II Organization, Nashville, TN Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 6, 2026 16.3%
Jeffrey L Wilson Individual Corporate OfficerCeo Mar 25, 2024
W-2 Managing EmployeeCeo Mar 25, 2024
Hercules Holding II Organization, Nashville, TN Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 17, 2006 14.4%
Ac Med LLC Organization, Nashville, TN LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2015 100%
Healthtrust Inc - the Hospital Company Organization, Nashville, TN Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 28, 2003 100%
William J English Individual Corporate OfficerCfo May 17, 2026
W-2 Managing EmployeeCfo May 17, 2026

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 10

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": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1124443478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 MEDICAL PLAZA DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069104",
            "telephone_number": "843-847-7000",
            "fax_number": "843-847-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 MEDICAL PLAZA DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069104",
            "telephone_number": "843-847-4100",
            "fax_number": "843-847-4086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3445 Ingleside Blvd",
            "address_purpose": "LOCATION",
            "city": "Ladson",
            "state": "SC",
            "postal_code": "294564142",
            "country_code": "US",
            "telephone_number": "843-847-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRIDENT MEDICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIDENT MEDICAL CENTER, LLC",
        "enumeration_date": "2014-02-24",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "MCKEOWN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "843-847-4254"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HCA Healthcare Live Oak Mental Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Low Country Transitions at HCA Healthcare Trident Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Low Country Transitions at Trident Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.