Active NPI
Donald Niles Ludlow Jr., MD
- Pediatrics Physician
- Shallotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 23222
- Practice address
- 3650 Express Dr
Shallotte, NC 28470-6501 - Phone
- (843) 716-2229
- Fax
- (843) 716-2483
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 29141 | NC | |
| Pediatrics Physician | 208000000X | 0101052765 | VA | |
| Pediatrics Physician | 208000000X | 23222 | SC | Primary |
Addresses
Primary practice location
3650 Express Dr
Shallotte, NC 28470-6501
Mailing address
PO Box 669
Loris, SC 29569
Phone (843) 716-2229
Other practice location 1
1517 N Howe St Ste 7&8
Southport, NC 28461-2772
Phone (843) 716-2229
Other practice location 2
2828 Bayboro St
Loris, SC 29569-2710
Phone (843) 716-2229
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5901589 | Medicaid | NC | |
| GP3483 | Medicaid | SC | |
| 20T7479 | Other | SC | DHEC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29141 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 0101052765 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seashore Pediatrics | Pediatrics | Current | Accepting new patients |
Locations
3650 Express Dr
South Brunswick, NC 28470
Phone (843) 716-2229
1517 N Howe St
Ste 78
Southport, NC 28461
Phone (843) 716-2229
2828 Bayboro St
Loris, SC 29569
Phone (843) 716-2229
Interoperability endpoints
- donaldludlow@seaped.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Loris, SC
- NPI 1265458251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749686400000",
"number": "1447208376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 669",
"city": "LORIS",
"state": "SC",
"postal_code": "29569",
"telephone_number": "843-716-2229",
"fax_number": "843-716-2483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 EXPRESS DR",
"city": "SHALLOTTE",
"state": "NC",
"postal_code": "284706501",
"telephone_number": "843-716-2229",
"fax_number": "843-716-2483"
}
],
"practiceLocations": [
{
"address_1": "1517 N Howe St Ste 7&8",
"address_purpose": "LOCATION",
"city": "Southport",
"state": "NC",
"postal_code": "284612772",
"country_code": "US",
"telephone_number": "843-716-2229",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2828 Bayboro St",
"address_purpose": "LOCATION",
"city": "Loris",
"state": "SC",
"postal_code": "295692710",
"country_code": "US",
"telephone_number": "843-716-2229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUDLOW",
"first_name": "DONALD",
"middle_name": "NILES",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "29141",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101052765",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "23222",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5901589",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP3483",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DHEC",
"identifier": "20T7479",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shallotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.