NPIMap

Organization Active NPI

Lowcountry Spine & Sport, LLC

  • Interventional Pain Medicine Physician
  • Hardeeville, SC
National Provider Identifier
1356582597
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
22310 Issued in SC
Legal business name
LOWCOUNTRY SPINE & SPORT, LLC
Practice address
300 New River Pkwy
Building 2, Suite 37
Hardeeville, SC 29927-4450
Phone
(843) 422-0781
Fax
(800) 210-2452
NPI assigned
Mar 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Authorized official

Name
John P Batson III, M.D.NPI 1346217585
Title
Owner
Phone
(843) 422-0781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 204C00000X 22310 SC
Interventional Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0014X 22310 SC Primary

Addresses

Primary practice location

300 New River Pkwy
Building 2, Suite 37
Hardeeville, SC 29927-4450

Mailing address

300 New River Pkwy
Building 2, Suite 37
Hardeeville, SC 29927-4450

Other identifiers 1

IdentifierTypeStateIssuer
223109MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090514000165 SC Part B Supplier - Clinic/Group Practice 4183773500 Receives reassigned benefits from 2 practitioners
Practice locations: Hardeeville, SC; Hilton Head Island, SC
O20100930016752 SC DME Supplier - Physician - General Practice 4183773500 Practice locations: Hardeeville, SC

National Provider Directory

National Provider Directory

Locations

300 New River Pkwy
Ste 37
Hardeeville, SC 29927
Phone (843) 208-2420

95 Mathews Dr
Ste D1
Hilton Head Island, SC 29926
Phone (843) 681-2363

70 Main St
Ste 200
Hilton Head Island, SC 29926
Phone 8432082420105

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHGGAA

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1356582597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NEW RIVER PKWY",
            "address_2": "BUILDING 2, SUITE 37",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299274450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NEW RIVER PKWY",
            "address_2": "BUILDING 2, SUITE 37",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299274450",
            "telephone_number": "843-422-0781",
            "fax_number": "800-210-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY SPINE & SPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "BATSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-422-0781",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "SC",
            "license": "22310",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "SC",
            "license": "22310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "223109",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardeeville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.