Active NPI
McCrea Ewart MD PA
Doing business as Low Country Surgical Associates
- Surgery Physician
- Georgetown, SC
National Provider Identifier
1265592117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 8834
- Legal business name
- MCCREA EWART MD PA
- Doing business as
- Low Country Surgical Associates
- Practice address
- 903 A N Fraser
Georgetown, SC 29440-2803 - Phone
- (843) 527-1331
- Fax
- (843) 527-1332
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jackson McCrea Ewart, MD
- Title
- President
- Phone
- (843) 527-1331
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 8834 | SC | Primary |
Addresses
Primary practice location
903 A N Fraser
Georgetown, SC 29440-2803
Mailing address
PO Box 1519
Georgetown, SC 29442-1519
Phone (843) 527-1331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9491 | Medicaid | SC |
Other names 1
- Low Country Surgical Associates
National Provider Directory
National Provider DirectoryLocations
903 N Fraser St
#A
Georgetown, SC 29440
Phone (843) 527-1331
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Palmer, MA
- NPI 1083648976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596585600000",
"number": "1265592117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1519",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294421519",
"telephone_number": "843-527-1331",
"fax_number": "843-527-1332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 A N FRASER",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294402803",
"telephone_number": "843-527-1331",
"fax_number": "843-527-1332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCCREA EWART MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A",
"authorized_official_last_name": "EWART",
"authorized_official_first_name": "JACKSON",
"authorized_official_middle_name": "MCCREA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "843-527-1331",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "SC",
"license": "8834",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PA9491",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Low Country Surgical Associates",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Low Country Surgical Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Georgetown, SC
- Jerry Nell Martin, RN
- Brian L Maxwell, CACII, NCACI
- Eugene V Mayeaux II, M.D.
- Walter A. Mayo, O.D.
- McCrea Ewart MD PA (Georgetown Vascular Associate)
- Dalzell Ginn McDilda, M.ED.CCC-SLP
- Deborah R. McKee, C.N.M.
- Edna Elizabeth McMillan, RN, BSN,CDE
- Jeffrey David Meinert
- Mending Bridges Case Management
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.