Organization Active NPI

McCrea Ewart MD PA

Doing business as Low Country Surgical Associates

  • Surgery Physician
  • Georgetown, SC
National Provider Identifier
1265592117
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
8834 Issued in SC
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

Updated by the provider on Aug 5, 2020

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
PA9491MedicaidSC

Other names 1

  • Low Country Surgical Associates Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.