Organization Active NPI

Atlantic Coast Integrative Medicine, LLC

  • Internal Medicine Physician
  • Summerville, SC
National Provider Identifier
1174955439
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29692 Issued in SC
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

Updated by the provider on Aug 10, 2015

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 29692 SC Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.