Active NPI
Sandlapper Pediatrics
- Pediatrics Physician
- Mt Pleasant, SC
National Provider Identifier
1164549424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 188484
- Legal business name
- SANDLAPPER PEDIATRICS
- Practice address
- 570 Long Point Rd Ste 240
Ste. 240
Mt Pleasant, SC 29464-7932 - Phone
- (843) 216-9901
- NPI assigned
- Mar 23, 2007
- 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
- Jill Aiken, MD
- Title
- Peditrician
- Phone
- (843) 216-9901
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 188484 | SC | Primary |
Addresses
Primary practice location
570 Long Point Rd Ste 240
Ste. 240
Mt Pleasant, SC 29464-7932
Mailing address
295 Seven Farms Dr
PMB 195 Suite C
Daniel Island, SC 29492-8001
Phone (843) 216-9901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP3969 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
295 Seven Farms Dr
Ste C
Daniel Island, SC 29492
1210 Chuck Dawley Blvd
Mt Pleasant, SC 29464
Phone (843) 216-9901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311552000000",
"number": "1164549424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 SEVEN FARMS DR",
"address_2": "PMB 195 SUITE C",
"city": "DANIEL ISLAND",
"state": "SC",
"postal_code": "294928001",
"telephone_number": "843-216-9901",
"fax_number": "843-216-9715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 LONG POINT RD STE 240",
"address_2": "STE. 240",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294647932",
"telephone_number": "843-216-9901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDLAPPER PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-23",
"last_updated": "2011-07-25",
"status": "A",
"authorized_official_last_name": "AIKEN",
"authorized_official_first_name": "JILL",
"authorized_official_title_or_position": "PEDITRICIAN",
"authorized_official_telephone_number": "843-216-9901",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "SC",
"license": "188484",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP3969",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, SC
- Sana Counseling and Wellness, LLC
- Nathan William Sanchy, DPT
- Moffett Priddy Sandhu, M.ED, CCC-SLP
- Sandlapper Chiropractic and Wellness Center LLC
- Sandlapper Chiropractic LLC
- Sandpiper Home Health
- Sandpiper Home Health Services, LLC
- Sandpiper Independent & Assisted Living, LLC
- Sandpiper Rehab and Nursing - Delaware, LLC
- Sandra Nelson LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.