Individual provider Active NPI

Patrick Scott Lovegrove, DO

  • Family Medicine Physician
  • Mount Pleasant, SC
National Provider Identifier
1417945171
Registry record updated Jul 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1189 Issued in SC
Practice address
250 Mathis Ferry Rd
Ste 101
Mt Pleasant, SC 29464-2988
Phone
(843) 469-1001
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02002675A IN
Family Medicine Physician 207Q00000X 1189 SC Primary

Addresses

Primary practice location

250 Mathis Ferry Rd
Ste 101
Mt Pleasant, SC 29464-2988

Mailing address

250 Mathis Ferry Rd, Ste 101
Mt Pleasant, SC 29464-2877
Phone (843) 469-1001

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160912001114 SC Order and Referring Only - Family PracticePractitioner - Family Practice 5395910053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1189NCMDAddiction (Substance Use Disorder) Counselor
02002675AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Merge Medical Center CurrentSince Dec 7, 2011 Accepting new patients
Merge Medical Analytics Current Accepting new patients
Acn Wellness, PLLC Past Accepting new patients

Locations

250 Mathis Ferry Rd
Ste 101
Mt Pleasant, SC 29464
Phone (843) 469-1001

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499904000000",
    "number": "1417945171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MATHIS FERRY RD, STE 101",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294642877",
            "telephone_number": "843-469-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MATHIS FERRY RD",
            "address_2": "STE 101",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294642988",
            "telephone_number": "843-469-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVEGROVE",
        "first_name": "PATRICK",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2017-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02002675A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "1189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.