Teresa Joy Sommese, MD

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

0101038855 Issued in VA

Practice address

110 Nnptc Cir
Goose Creek, SC 29445-6314

Phone

(843) 794-6567

Fax

(843) 794-6567

NPI assigned

Nov 6, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Teresa Mason Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1306173646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 PALM BLVD",
            "city": "ISLE OF PALMS",
            "state": "SC",
            "postal_code": "294512051",
            "telephone_number": "703-623-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NNPTC CIR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294456314",
            "telephone_number": "843-794-6567",
            "fax_number": "843-794-6567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Island Park Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Daniel Island",
            "state": "SC",
            "postal_code": "294927560",
            "country_code": "US",
            "telephone_number": "843-284-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOMMESE",
        "first_name": "TERESA",
        "middle_name": "JOY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "VA",
            "license": "0101038855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "MASON",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Sarah Enzaldo Smith, PT, DPT
• Scott Adam Smith, PT
• South Carolina CVS Pharmacy LLC
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• Southcrest ABA Therapy LLC
• Kimberly Space, DPT
• Jay Spateholts

• All providers in Goose Creek, SC
• Occupational Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.