Organization Active NPI

Lowcountry Infectious Diseases PA

  • Infectious Disease Physician
  • Summerville, SC
National Provider Identifier
1194303065
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
LOWCOUNTRY INFECTIOUS DISEASES PA
Practice address
1520 Old Trolley Rd Ste 101
Summerville, SC 29485-5292
Phone
(843) 402-0227
NPI assigned
Mar 31, 2021
Organization subpart
Yes
Parent organization
LOWCOUNTRY INFECTIOUS DISEASES PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Shannon R McCoin
Title
Ceo
Phone
(843) 212-8669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

1520 Old Trolley Rd Ste 101
Summerville, SC 29485-5292

Mailing address

1938 Charlie Hall Blvd Unit B
Charleston, SC 29414-6099

National Provider Directory

National Provider Directory
Part of
Lowcountry Infectious Diseases PA

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1194303065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 CHARLIE HALL BLVD UNIT B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 OLD TROLLEY RD STE 101",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855292",
            "telephone_number": "843-402-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY INFECTIOUS DISEASES PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOWCOUNTRY INFECTIOUS DISEASES PA",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "MCCOIN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-212-8669"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Mar 31, 2021; 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.