Sea Island Medical Practice

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SEA ISLAND MEDICAL PRACTICE

Doing business as

Sea Island Medical Practice

Practice address

12 Professional Village Cir
Ladys Island, SC 29907-1569

Phone

(843) 524-6829

Fax

(843) 524-6820

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Kaitlyn Atkinson, AEMT

Title

Office Manager

Phone

(909) 964-4917

Specialties & licenses 1

Addresses

Other names 1

• Sea Island Medical Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1285702498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PROFESSIONAL VILLAGE CIR",
            "city": "LADYS ISLAND",
            "state": "SC",
            "postal_code": "299071569",
            "telephone_number": "843-524-6829",
            "fax_number": "843-524-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PROFESSIONAL VILLAGE CIR",
            "city": "LADYS ISLAND",
            "state": "SC",
            "postal_code": "299071569",
            "telephone_number": "843-524-6829",
            "fax_number": "843-524-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA ISLAND MEDICAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-964-4917",
        "authorized_official_credential": "AEMT"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sea Island Medical Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rodriqua McQuire
• Brooke Ashley Michael, DNP, APRN, FNP-C
• Karmen Mitchell
• Jessica Pardee
• Pebbles Helping Seniors LLC
• Roeshelle Smith-Sampson

• Internal Medicine Physician in Ladys Island, SC
• Providers in Ladys Island, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.