Active NPI
Island Womens Care, LLC
- Gynecology Physician
- Pawleys Island, SC
National Provider Identifier
1124472865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 19188
- Legal business name
- ISLAND WOMENS CARE, LLC
- Practice address
- 38 Blackgum Rd Ste C&D
Pawleys Island, SC 29585-8495 - Phone
- (843) 235-1222
- Fax
- (843) 314-4020
- NPI assigned
- Apr 19, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Juliana R Gregory, CMPE
- Title
- Practice Manager
- Phone
- (843) 235-1222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 19188 | SC | Primary |
Addresses
Primary practice location
38 Blackgum Rd Ste C&D
Pawleys Island, SC 29585-8495
Mailing address
PO Box 1855
Pawleys Island, SC 29585-1855
Phone (843) 235-1222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160613001874 | SC | Part B Supplier - Clinic/Group Practice | 0446541932 |
Receives reassigned benefits from 5 practitioners Practice locations: Pawleys Island, SC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2112455 | Island Womens Care, LLC | Provider-performed microscopy | Apr 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
38 Blackgum Rd
Unit C
Pawleys Island, SC
Phone 8432351222202
38 Blackgum Rd
Ste Cd
Pawleys Island, SC 29585
Phone (843) 235-1222
38 Blackgum Rd
Unit D
Pawleys Island, SC 29585
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784246400000",
"number": "1124472865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1855",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295851855",
"telephone_number": "843-235-1222",
"fax_number": "843-314-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 BLACKGUM RD STE C&D",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295858495",
"telephone_number": "843-235-1222",
"fax_number": "843-314-4020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISLAND WOMENS CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-19",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A",
"authorized_official_last_name": "GREGORY",
"authorized_official_first_name": "JULIANA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "843-235-1222",
"authorized_official_credential": "CMPE"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "SC",
"license": "19188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pawleys Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.