Active NPI
Atlantic Coast Integrative Medicine, LLC
- Internal Medicine Physician
- Summerville, SC
National Provider Identifier
1174955439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 29692
- Legal business name
- ATLANTIC COAST INTEGRATIVE MEDICINE, LLC
- Practice address
- 1203 Old Trolley Rd
Suite F
Summerville, SC 29485-5296 - Phone
- (843) 486-0999
- Fax
- (843) 486-0989
- NPI assigned
- Aug 8, 2013
- 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
- Mr. Stephen P Lambert
- Title
- Practice Manager
- Phone
- (843) 486-0999
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 29692 | SC | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 29692 | SC |
Addresses
Primary practice location
1203 Old Trolley Rd
Suite F
Summerville, SC 29485-5296
Mailing address
1203 Old Trolley Rd
Suite F
Summerville, SC 29485-5296
Phone (843) 486-0999
National Provider Directory
National Provider DirectoryLocations
725 Long Point Rd
Mt Pleasant, SC 29464
Phone (843) 940-8000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Summerville, SC
- NPI 1922124189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439164800000",
"number": "1174955439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 OLD TROLLEY RD",
"address_2": "SUITE F",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294855296",
"telephone_number": "843-486-0999",
"fax_number": "843-486-0989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 OLD TROLLEY RD",
"address_2": "SUITE F",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294855296",
"telephone_number": "843-486-0999",
"fax_number": "843-486-0989"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC COAST INTEGRATIVE MEDICINE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-08",
"last_updated": "2015-08-10",
"status": "A",
"authorized_official_last_name": "LAMBERT",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "843-486-0999",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "SC",
"license": "29692",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "SC",
"license": "29692",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.