Individual provider Active NPI

Donald Niles Ludlow Jr., MD

  • Pediatrics Physician
  • Shallotte, NC
National Provider Identifier
1447208376
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
23222 Issued in SC
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

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5901589MedicaidNC
GP3483MedicaidSC
20T7479OtherSCDHEC

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

LicenseStateTypeSpecialty
29141NCMDAddiction (Substance Use Disorder) Counselor
0101052765VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seashore Pediatrics Pediatrics CurrentSince Jun 15, 2025 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.