Organization Active NPI

Lowcountry Gastroenterology

  • Gastroenterology Physician
  • Mount Pleasant, SC
National Provider Identifier
1154437291
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
LOWCOUNTRY GASTROENTEROLOGY
Practice address
1300 Hospital Dr
Suite 300
Mount Pleasant, SC 29464-3217
Phone
(843) 884-5200
Fax
(843) 884-6417
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Dr. Paul L Yantis III, MD
Title
President
Phone
(843) 884-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

1300 Hospital Dr
Suite 300
Mount Pleasant, SC 29464-3217

Mailing address

1300 Hospital Dr
Suite 300
Mount Pleasant, SC 29464-3217
Phone (843) 884-5200

Other identifiers 1

IdentifierTypeStateIssuer
PC4786MedicaidSC

Other names 1

  • Lowcountry Gastroenterology Doing business as

National Provider Directory

National Provider Directory

Locations

1300 Hospital Dr
Ste 300
Mt Pleasant, SC 29464
Phone (803) 884-5200

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1154437291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL DR",
            "address_2": "SUITE 300",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643217",
            "telephone_number": "843-884-5200",
            "fax_number": "843-884-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL DR",
            "address_2": "SUITE 300",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643217",
            "telephone_number": "843-884-5200",
            "fax_number": "843-884-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY GASTROENTEROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "YANTIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-884-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC4786",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lowcountry Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.