Mary St.John, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

9523 Issued in SC

Practice address

2719 Boundary St
Beaufort, SC 29906-7342

Phone

(843) 524-0449

Fax

(843) 524-0305

NPI assigned

Jun 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Psychiatry

Education

Louisiana State University School of Medicine in New Orleans, 1978

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1457553984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 BOUNDARY ST",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299067342",
            "telephone_number": "843-524-0449",
            "fax_number": "843-524-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 BOUNDARY ST",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299067342",
            "telephone_number": "843-524-0449",
            "fax_number": "843-524-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST.JOHN",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "9523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William L. Spearman, MD
• Marian Spina, COTA
• Ralee Spooner, DMD
• Paige Amsler Sprietsma, ANP
• James D Spruill, RPH
• Andrew John Stag
• Jack A. Stansbury Jr., NP
• Emily M Stansell, PHARMD
• State of South Carolina
• Trenton K Statler, DPM

• Psychiatry Physician in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.
• 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.