NPIMap

Individual provider Active NPI

Kimberly Lynn Davis-Seagle, M.D.

  • Internal Medicine Physician
  • Mount Pleasant, SC
National Provider Identifier
1265408967
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16563 Issued in SC
Practice address
498 Wando Park Blvd Ste 500
Mount Pleasant, SC 29464-7963
Phone
(843) 216-8160
Fax
(866) 834-5680
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16563 SC Primary

Addresses

Primary practice location

498 Wando Park Blvd Ste 500
Mount Pleasant, SC 29464-7963

Mailing address

498 Wando Park Blvd Ste 500
Mount Pleasant, SC 29464-7963
Phone (843) 216-8160

Other identifiers 1

IdentifierTypeStateIssuer
110236858OtherSCRR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080325000204 SC Practitioner - Internal Medicine 9133205651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical University of South Carolina College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mt. Pleasant Internal MedicineGroup PAC ID 3779590971, 2 clinicians

Practice addresses (Care Compare)

498 Wando Park Blvd
Suite 500
Mt Pleasant, SC 29464-7963
Phone (843) 881-1671

Hospital & facility affiliations

  • Amedisys Home Health of Charleston East Home health agency, Charleston, SC, CCN 427027
  • Interim Healthcare Home health agency, North Charleston, SC, CCN 427132
  • Novant Health East Cooper Medical Center Hospital, Mount Pleasant, SC, CCN 420089
  • Mount Pleasant Hospital Hospital, Mount Pleasant, SC, CCN 420104
  • Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004
  • Tidelands Georgetown Memorial Hospital Hospital, Georgetown, SC, CCN 420020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mt. Pleasant Internal Medicine Internal Medicine CurrentSince Jan 1, 2002 Accepting new patients
Legacy Internal Medicine LLC Internal Medicine CurrentSince Feb 2, 2012 Accepting new patients

Locations

498 Wando Park Blvd
Ste 500
Mt Pleasant, SC 29464
Phone (843) 216-8160

897 Von Kolnitz Rd
Ste 101
Mt Pleasant, SC 29464
Phone (843) 534-1770

1300 Hospital Dr
Ste 310
Mt Pleasant, SC 29464
Phone (843) 614-2884

897 Von Kolnitz Rd
Mt Pleasant, SC 29464
Phone (843) 881-1671

Interoperability endpoints

  • Direct secure messaging: kimberly.davis-seagle.1@19023.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19636/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1265408967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 WANDO PARK BLVD STE 500",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647963",
            "telephone_number": "843-216-8160",
            "fax_number": "866-834-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 WANDO PARK BLVD STE 500",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647963",
            "telephone_number": "843-216-8160",
            "fax_number": "866-834-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-SEAGLE",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "16563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110236858",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.