Individual provider Active NPI

Lauren Williams, APRN

  • Nurse Practitioner
  • Mount Pleasant, SC
National Provider Identifier
1134724628
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
24293 Issued in SC
Practice address
2114 Highway 41 Ste 105
Mount Pleasant, SC 29466-6204
Phone
(843) 388-9000
NPI assigned
Dec 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 24293 SC Primary

Addresses

Primary practice location

2114 Highway 41 Ste 105
Mount Pleasant, SC 29466-6204

Mailing address

2114 Highway 41 Ste 105
Mt Pleasant, SC 29466-6204
Phone (843) 388-9000

Other practice location 1

1241 Woodland Ave
Mount Pleasant, SC 29464-3288
Phone (843) 990-4414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210210000242 SC Practitioner - Nurse Practitioner 4789099466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sea Island Medical CareGroup PAC ID 0941540819, 8 clinicians

Practice addresses (Care Compare)

2114 Hwy 41
Suite 105
Mt Pleasant, SC 29466-6204
Phone (843) 388-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24293SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Island Medical Care CurrentSince Feb 2, 2021 Accepting new patients

Locations

2114 Highway 41
Ste 105
Mt Pleasant, SC 29466
Phone (843) 388-9000

1241 Woodland Ave
Mt Pleasant, SC 29464
Phone (843) 881-4020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1134724628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 HIGHWAY 41 STE 105",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294666204",
            "telephone_number": "843-388-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 HIGHWAY 41 STE 105",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294666204",
            "telephone_number": "843-388-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1241 Woodland Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294643288",
            "country_code": "US",
            "telephone_number": "843-990-4414",
            "fax_number": "843-388-6937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LAUREN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "24293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.