Individual provider Active NPI

Lloyd Bernard Mandel, M.D.

  • Surgery Physician
  • Goose Creek, SC
National Provider Identifier
1225113178
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
10054 Issued in SC
Practice address
588 Old Mount Holly Rd
Goose Creek, SC 29445-2814
Phone
(843) 376-5595
Fax
(843) 797-7432
NPI assigned
Oct 26, 2006
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 10054 SC
Surgery Physician 208600000X 10054 SC Primary

Addresses

Primary practice location

588 Old Mount Holly Rd
Goose Creek, SC 29445-2814

Mailing address

588 Old Mount Holly Rd
Goose Creek, SC 29445-2814
Phone (843) 376-5595

Other identifiers 1

IdentifierTypeStateIssuer
GP0504MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121024000132 SC Practitioner - General Surgery 8426128877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PM Health Alliance, LLCGroup PAC ID 0547526121, 3 clinicians

Practice addresses (Care Compare)

106 Gosling Way
Suite E
Summerville, SC 29486-8917
Phone (843) 376-5595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10054SCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PM Health Alliance, LLC Surgery CurrentSince Dec 11, 2017 Accepting new patients
Lloyd B. Mandel MD PA Surgery Past Accepting new patients
Goose Creek Physical Medicine LLC Past Accepting new patients
Back 2 Health LLC Past Accepting new patients

Locations

588 Old Mount Holly Rd
Goose Creek, SC 29445
Phone (843) 376-5595

106 Gosling Way
Ste E
Summerville, SC 29486

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1225113178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 OLD MOUNT HOLLY RD",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452814",
            "telephone_number": "843-376-5595",
            "fax_number": "843-797-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 OLD MOUNT HOLLY RD",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452814",
            "telephone_number": "843-376-5595",
            "fax_number": "843-797-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDEL",
        "first_name": "LLOYD",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "SC",
            "license": "10054",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "10054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0504",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

Verify at the official NPI Registry.