Zoe Kleckner Pogue, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

19473 Issued in SC

Practice address

99 Bridgetown Rd
Goose Creek, SC 29445-5359

Phone

(843) 572-3300

Fax

(843) 797-3331

NPI assigned

Mar 14, 2006

Last updated

Apr 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25211/brand/1/csg/1/fhir/r4
• Direct secure messaging: zoe.pogue.1@20108.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genesis Healthcare, Inc.

  dba Pee Dee Health Care

  • Federally Qualified Health Center (FQHC)
  • Darlington, SC
  • NPI 1437484862
  Medicare reassignment NPD
• Lowcountry Pediatrics

  • Specialist
  • Goose Creek, SC
  • NPI 1164531349
  NPD (past) Authorized official
• Genesis Healthcare, Inc.

  dba Mobile Health Clinic #1

  • Federally Qualified Health Center (FQHC)
  • Walterboro, SC
  • NPI 1881440758
  NPD
• Genesis Healthcare, Inc.

  dba Genesis Healthcare Florence

  • Federally Qualified Health Center (FQHC)
  • Florence, SC
  • NPI 1255305280
  NPD (past)
• Genesis Healthcare, Inc.

  dba Lowcountry Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Goose Creek, SC
  • NPI 1447975966
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1396714374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236366",
            "telephone_number": "803-254-3676",
            "fax_number": "803-254-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BRIDGETOWN RD",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455359",
            "telephone_number": "843-572-3300",
            "fax_number": "843-797-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGUE",
        "first_name": "ZOE",
        "middle_name": "KLECKNER",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "19473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194738",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Personal Care LLC
• Sarah Noemi Pessoa, PHARMD
• Robert Sebastien Petit
• Shavonna Pressley Pinckney, RN
• PM Health Alliance, LLC (Back 2 Health)
• Andrew Joseph Ponton, DMD
• Kia Porcher, RDH
• Albertha D Powell, MSW
• Tammy Powell
• PPCP Specialty Physicians , LLC (Westview Family Medicine)

• Pediatrics Physician in Goose Creek, SC
• Providers in Goose Creek, 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 Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.