Organization Active NPI

Lowcountry Medical Associates

  • Family Medicine Physician
  • Walterboro, SC
National Provider Identifier
1235189259
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LOWCOUNTRY MEDICAL ASSOCIATES
Practice address
415 Robertson Blvd
Suite D
Walterboro, SC 29488-5713
Phone
(843) 549-8444
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Linda C Shoemaker
Title
Coo
Phone
(843) 937-8101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X SC Primary

Addresses

Primary practice location

415 Robertson Blvd
Suite D
Walterboro, SC 29488-5713

Mailing address

415 Robertson Blvd
Suite D
Walterboro, SC 29488-5713
Phone (843) 549-8444

Other identifiers 1

IdentifierTypeStateIssuer
GP4079MedicaidSC

Other names 1

  • Carolina Family Medicine of Walterboro Doing business as

National Provider Directory

National Provider Directory

Locations

1064 Gardner Rd
Ste 216
Charleston, SC 29407
Phone (843) 266-0909

406 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-7579

Practitioners & affiliated clinicians

Practitioners 4

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": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1235189259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 ROBERTSON BLVD",
            "address_2": "SUITE D",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294885713",
            "telephone_number": "843-549-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 ROBERTSON BLVD",
            "address_2": "SUITE D",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294885713",
            "telephone_number": "843-549-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "843-937-8101"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4079",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Family Medicine of Walterboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walterboro, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.