Seaside Pediatrics, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SEASIDE PEDIATRICS, PA

Practice address

309 Wingo Way
Suite 101
Mt Pleasant, SC 29464-1804

Phone

(843) 881-2484

Fax

(843) 881-2909

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Tammy H Cobb

Title

Office Manager

Phone

(843) 881-2484

Specialties & licenses 1

Addresses

Other identifiers 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

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth L Anderson, MD

  • Pediatrics Physician
  • Charleston, SC
  • NPI 1912011818
  NPD (past)
• Shannon M Noble, MD

  • Pediatrics Physician
  • Mt Pleasant, SC
  • NPI 1548327174
  NPD (past)
• Janet O White, MD

  • Pediatrics Physician
  • Mt Pleasant, SC
  • NPI 1356359327
  NPD (past)
• Kimberly S Zimlich, MD

  • Pediatrics Physician
  • Mt Pleasant, SC
  • NPI 1164430138
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326105255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 WINGO WAY",
            "address_2": "SUITE 101",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294641804",
            "telephone_number": "843-881-2484",
            "fax_number": "843-881-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 WINGO WAY",
            "address_2": "SUITE 101",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294641804",
            "telephone_number": "843-881-2484",
            "fax_number": "843-881-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE PEDIATRICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-881-2484"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3029",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sea Isle Spine Center, Inc
• Sea Stars Therapy
• Deborah Jean Seabrook, MED LPC
• Catherine Sease
• Seaside Chiropractic, LLC
• Seaside Speech and Language Therapy, LLC
• Seaside Speech Therapy, LLC
• Seasons Concierge Care, LLC
• Amanda Nguyen Seay, DDS
• Grace E Sedberry

• Pediatrics Physician in Mt Pleasant, SC
• Providers in Mt Pleasant, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.