NPIMap

Individual provider Active NPI

Lisa E Mount, MD

  • Internal Medicine Physician
  • Little River, SC
National Provider Identifier
1467443606
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20187 Issued in SC
Practice address
3361 Highway 9 E
Little River, SC 29566-7826
Phone
(843) 497-5929
Fax
(866) 778-9612
NPI assigned
Nov 4, 2005
Last updated
Jan 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20187 SC Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 20187 SC

Addresses

Primary practice location

3361 Highway 9 E
Little River, SC 29566-7826

Mailing address

PO Box 3439
North Myrtle Beach, SC 29582-0439
Phone (843) 839-4447

Other identifiers 1

IdentifierTypeStateIssuer
201873MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040115000279 SC Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5799686663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Medical University of South Carolina College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Strand Physician Specialists PAGroup PAC ID 1153226576, 56 clinicians

Practice addresses (Care Compare)

190 River Park Dr
Little River, SC 29566-6844
Phone (843) 734-1457

5023 Carolina Forest Blvd
Myrtle Beach, SC 29579-3578
Phone (843) 497-5929

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Strand Physician Specialists, PA Internal Medicine CurrentSince Oct 1, 2016 Accepting new patients
Strand Physician Specialists, PA Internal Medicine Current Accepting new patients
Strand Physician Specialists, PA Internal Medicine CurrentSince Oct 1, 2016 Accepting new patients
Strand Physician Specialists, PA Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Coastal Carolina Primary Care, LLC Past Accepting new patients

Locations

3361 Highway 9 E
Little River, SC 29566
Phone (843) 449-8079

4591 Socastee Blvd
Myrtle Beach, SC 29588

5023 Carolina Forest Blvd
Myrtle Beach, SC 29579
Phone (843) 839-4447

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

945 82nd Pkwy
Myrtle Beach, SC 29572

Interoperability endpoints

  • Direct secure messaging: lisa.mount.1@842.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1467443606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3439",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295820439",
            "telephone_number": "843-839-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3361 HIGHWAY 9 E",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295667826",
            "telephone_number": "843-497-5929",
            "fax_number": "866-778-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNT",
        "first_name": "LISA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "20187",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "SC",
            "license": "20187",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201873",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little River, SC

Sources for this page

Verify at the official NPI Registry.