Individual provider Active NPI

John Gardner Inman, MD

  • Family Medicine Physician
  • Daniel Island, SC
National Provider Identifier
1255495644
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17289 Issued in SC
Practice address
880 Island Park Dr Unit 200
Daniel Island, SC 29492-2902
Phone
(843) 856-1771
Fax
(843) 856-8788
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17289 SC Primary

Addresses

Primary practice location

880 Island Park Dr Unit 200
Daniel Island, SC 29492-2902

Mailing address

181 Calhoun St
Student Health Services College of Charleston
Charleston, SC 29424-3519
Phone (843) 953-5520

Other practice location 1

181 Calhoun St
Student Health Services College of Charleston
Charleston, SC 29424-3519
Phone (843) 953-5520

Other practice location 2

3400 Salterbeck St Ste 100A
Mount Pleasant, SC 29466-7118
Phone (843) 606-9474

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
I20180117002861 SC Practitioner - Family Practice 0143124941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Cooper Physician Group LLCGroup PAC ID 1254775687, 126 clinicians

Practice addresses (Care Compare)

880 Island Park Dr
Unit 230
Daniel Island, SC 29492-2902
Phone (843) 380-9330

Hospital & facility affiliations

  • Novant Health East Cooper Medical Center Hospital, Mount Pleasant, SC, CCN 420089
  • Mount Pleasant Hospital Hospital, Mount Pleasant, SC, CCN 420104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17289SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Cooper Physician Group LLC CurrentSince Feb 1, 2024 Accepting new patients
East Cooper Physician Group LLC CurrentSince Feb 1, 2024 Accepting new patients
East Cooper Physician Group LLC Past Accepting new patients

Locations

880 Island Park Dr
Unit 200
Daniel Island, SC 29492
Phone (843) 531-6395

880 Island Park Dr
Unit 230
Daniel Island, SC 29492
Phone (843) 380-9330

851 Leonard Fulghum Dr
Ste 101
Mt Pleasant, SC 29464
Phone (843) 884-2133

3400 Salterbeck St
Ste 100B
Mt Pleasant, SC 29466
Phone (843) 856-3262

3400 Salterbeck St
Ste 100A
Mt Pleasant, SC 29466
Phone (843) 606-9474

Interoperability endpoints

  • Direct secure messaging: john.inman.1@30548.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1255495644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 CALHOUN ST",
            "address_2": "STUDENT HEALTH SERVICES COLLEGE OF CHARLESTON",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294243519",
            "telephone_number": "843-953-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 ISLAND PARK DR UNIT 200",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294922902",
            "telephone_number": "843-856-1771",
            "fax_number": "843-856-8788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Calhoun St",
            "address_2": "Student Health Services College of Charleston",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294243519",
            "country_code": "US",
            "telephone_number": "843-953-5520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Salterbeck St Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294667118",
            "country_code": "US",
            "telephone_number": "843-606-9474",
            "fax_number": "843-606-9482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INMAN",
        "first_name": "JOHN",
        "middle_name": "GARDNER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "17289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daniel Island, SC

Sources for this page

Verify at the official NPI Registry.