Ferguson Internal Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FERGUSON INTERNAL MEDICINE LLC

Practice address

1000 Johnnie Dodds Blvd Ste 103-303
Mount Pleasant, SC 29464-3135

Phone

(843) 789-9440

Fax

(785) 414-5337

NPI assigned

Mar 29, 2023

Last updated

Sep 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Ferguson, DONPI 1841743010

Title

Owner

Phone

(248) 767-2216

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Ferguson, D.O.

  • Internal Medicine Physician
  • Mount Pleasant, SC
  • NPI 1841743010
  Medicare reassignment Care Compare group NPD Authorized official
• Christopher Ferguson, D.O.

  • Internal Medicine Physician
  • Mount Pleasant, SC
  • NPI 1295186724
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1255035416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JOHNNIE DODDS BLVD STE 103-303",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643135",
            "telephone_number": "248-767-2216",
            "fax_number": "785-414-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHNNIE DODDS BLVD STE 103-303",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643135",
            "telephone_number": "843-789-9440",
            "fax_number": "785-414-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERGUSON INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-767-2216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Fennell
• Elizabeth Faith Fenton, DPT
• Carol Green Fenwick, RD, LD
• Vanessa Feola, PHD
• Leslie Fergus, PT
• Cara Seay Ferguson, M.D.
• Christopher Ferguson, D.O.
• Jennifer Ferguson, D.O.
• Jolie Ann Ferguson, LPCC
• Kimberly Anne Ferguson, LPC

• Internal Medicine Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.