Individual provider Active NPI

Logan Hillemann

  • Physician Assistant
  • Mount Pleasant, SC
National Provider Identifier
1235997248
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1220 Hospital Dr
Mount Pleasant, SC 29464-3251
Phone
(843) 849-8418
Fax
(843) 868-8040
NPI assigned
Mar 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1220 Hospital Dr
Mount Pleasant, SC 29464-3251

Mailing address

1220 Hospital Dr
Mount Pleasant, SC 29464-3251
Phone (843) 849-8418

Other practice location 1

1523 Heather Glen Dr
Lake Saint Louis, MO 63367-4241
Phone (314) 709-8999

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251105000155 SC Practitioner - Physician Assistant 0941790331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Cooper Plastic Surgery LLCGroup PAC ID 1658553631, 3 clinicians

Practice addresses (Care Compare)

1240 Hospital Dr
Mt Pleasant, SC 29464-3251
Phone (843) 849-8418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5239SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
East Cooper Plastic Surgery LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

1300 Hospital Dr
Ste 120
Mt Pleasant, SC 29464
Phone (843) 388-0660

1240 Hospital Dr
Mt Pleasant, SC 29464
Phone (843) 849-8418

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1235997248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 HOSPITAL DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643251",
            "telephone_number": "843-849-8418",
            "fax_number": "843-868-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 HOSPITAL DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643251",
            "telephone_number": "843-849-8418",
            "fax_number": "843-868-8040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1523 Heather Glen Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Saint Louis",
            "state": "MO",
            "postal_code": "633674241",
            "country_code": "US",
            "telephone_number": "314-709-8999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILLEMANN",
        "first_name": "LOGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-13",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.