Active NPI
Travis C Love, DO
- Internal Medicine Physician
- Mount Pleasant, SC
National Provider Identifier
1295935971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DO51703
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DO51703 | SC | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Low Country Male LLC | Past | 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.
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Mount Pleasant, SC
- NPI 1336699917
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.