NPIMap

Organization Active NPI

Seashore Pediatrics

  • Pediatrics Physician
  • Loris, SC
National Provider Identifier
1265458251
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SEASHORE PEDIATRICS
Practice address
3109 Casey St
Box 669
Loris, SC 29569-2807
Phone
(843) 716-2229
Fax
(843) 716-2483
NPI assigned
Jul 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Donald Niles Ludlow Jr., MDNPI 1447208376
Title
President Seashore Pediatrics PC
Phone
(843) 716-2229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

3109 Casey St
Box 669
Loris, SC 29569-2807

Mailing address

PO Box 669
Loris, SC 29569-0669
Phone (843) 716-2229

Other identifiers 2

IdentifierTypeStateIssuer
GP 3483MedicaidSC
5901589MedicaidNC

National Provider Directory

National Provider Directory

Locations

1517 N Howe St
Ste 7
Southport, NC 28461

1517 N Howe St
Ste 78
Southport, NC 28461
Phone (843) 716-2229

1517 N Howe St
Ste 8
Southport, NC 28461

2828 Bayboro St
Loris, SC 29569
Phone (843) 716-2229

3109 Casey St
#669
Loris, SC 29569
Phone (843) 716-2229

Interoperability endpoints

  • Direct secure messaging: cinthiafollrod@seaped.allscriptsdirect.net
  • Direct secure messaging: crystalmurphy@seaped.allscriptsdirect.net
  • Direct secure messaging: donaldludlow@seaped.allscriptsdirect.net
  • Direct secure messaging: larrybyrd@seaped.allscriptsdirect.net
  • Direct secure messaging: michaelgraham@seaped.allscriptsdirect.net
  • Direct secure messaging: tishabrown@seaped.allscriptsdirect.net
  • Direct secure messaging: williamsellers@seaped.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265458251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295690669",
            "telephone_number": "843-716-2229",
            "fax_number": "843-716-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 CASEY ST",
            "address_2": "BOX 669",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295692807",
            "telephone_number": "843-716-2229",
            "fax_number": "843-716-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASHORE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUDLOW",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "NILES",
        "authorized_official_title_or_position": "PRESIDENT SEASHORE PEDIATRICS PC",
        "authorized_official_telephone_number": "843-716-2229",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP 3483",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901589",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loris, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.