Mount Pleasant Pediatrics, P.a.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

10505 Issued in SC

Legal business name

MOUNT PLEASANT PEDIATRICS, P.A.

Practice address

1041 Johnnie Dodds Blvd
Suite 5a
Mount Pleasant, SC 29464-6156

Phone

(843) 881-0007

Fax

(843) 884-3690

NPI assigned

Aug 24, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandra L. Powell, MDNPI 1174630818

Title

President

Phone

(843) 881-0007

Specialties & licenses 1

Addresses

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 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandra L Powell, MD

  • Pediatrics Physician
  • Mount Pleasant, SC
  • NPI 1174630818
  NPD (past) Authorized official
• Anthony Robert Oddo, M.D.

  • Pediatrics Physician
  • Mount Pleasant, SC
  • NPI 1235662651
  NPD
• Matthew P Davis, MD

  • Pediatrics Physician
  • Mount Pleasant, SC
  • NPI 1386751055
  NPD (past)
• Neill M Herring, MD

  • Pediatrics Physician
  • Mount Pleasant, SC
  • NPI 1164530218
  NPD (past)
• Lisa E Hughes, MD

  • Pediatric Adolescent Medicine Physician
  • Mount Pleasant, SC
  • NPI 1245486760
  NPD (past)
• Robert C Weaver, MD

  • Pediatrics Physician
  • Mount Pleasant, SC
  • NPI 1609984582
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386751337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 JOHNNIE DODDS BLVD",
            "address_2": "SUITE 5A",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294646156",
            "telephone_number": "843-881-0007",
            "fax_number": "843-884-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 JOHNNIE DODDS BLVD",
            "address_2": "SUITE 5A",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294646156",
            "telephone_number": "843-881-0007",
            "fax_number": "843-884-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT PLEASANT PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-881-0007",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "SC",
            "license": "10505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mount Pleasant Nephrology LLC
• Mount Pleasant OB/GYN, PA
• Mount Pleasant Orthodontics LLC
• Mount Pleasant Outpatient Surgery Center LLC
• Mount Pleasant Pediatric Physical Therapy, LLC
• Mount Pleasant Speech and Language, LLC
• Mount Pleasant Surgical, LLC
• Movement Matters Physical Therapy, LLC
• Jennette Marie Mowry, PT
• MSJ Consulting (Source Orthopedic Solutions)

• Preferred Provider Organization in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Preferred Provider Organization 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.