Individual provider Active NPI

Travis C Love, DO

  • Internal Medicine Physician
  • Mount Pleasant, SC
National Provider Identifier
1295935971
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO51703 Issued in SC
Practice address
950 Houston Northcutt Blvd Ste 205
Mount Pleasant, SC 29464-5645
Phone
(843) 818-3800
Fax
(888) 491-9486
NPI assigned
Jul 20, 2007
Reactivated
Jul 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X DO51703 SC
Sports Medicine (Internal Medicine) Physician 207RS0010X DO51703 SC
Public Health & General Preventive Medicine Physician 2083P0901X DO51703 SC
Obesity Medicine (Internal Medicine) Physician 207RB0002X DO51703 SC
Endocrinology, Diabetes & Metabolism Physician 207RE0101X DO51703 SC
Geriatric Medicine (Internal Medicine) Physician 207RG0300X DO51703 SC
Internal Medicine Physician 207R00000X DO51703 SC Primary

Addresses

Primary practice location

950 Houston Northcutt Blvd Ste 205
Mount Pleasant, SC 29464-5645

Mailing address

950 Houston Northcutt Blvd Ste 205
Mount Pleasant, SC 29464-5645
Phone (843) 818-3800

Other practice location 1

1097 Mathis Ferry Rd
MT Pleasant, SC 29464-2616
Phone (304) 859-4261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO51703SCMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Low Country Male LLC PastSince Oct 16, 2017 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1295935971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 HOUSTON NORTHCUTT BLVD STE 205",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645645",
            "telephone_number": "843-818-3800",
            "fax_number": "843-894-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 HOUSTON NORTHCUTT BLVD STE 205",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645645",
            "telephone_number": "843-818-3800",
            "fax_number": "888-491-9486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1097 Mathis Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294642616",
            "country_code": "US",
            "telephone_number": "304-859-4261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVE",
        "first_name": "TRAVIS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "deactivation_date": "2018-06-18",
        "reactivation_date": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "SC",
            "license": "DO51703",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "SC",
            "license": "DO51703",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "SC",
            "license": "DO51703",
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "SC",
            "license": "DO51703",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "SC",
            "license": "DO51703",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "SC",
            "license": "DO51703",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "DO51703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.