Lowcountry Medical Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15315 Issued in SC

Legal business name

LOWCOUNTRY MEDICAL CARE, LLC

Practice address

181 Bluffton Rd BLDG G101G102
Bluffton, SC 29910-6221

Phone

(843) 757-5400

Fax

(843) 757-2240

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael K Mikkelson, MD

Title

Owner Physician

Phone

(843) 757-5400

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grace Weston

  • Primary Care Nurse Practitioner
  • Bluffton, SC
  • NPI 1730051376
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1467598920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2599",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "29910",
            "telephone_number": "843-757-5400",
            "fax_number": "843-757-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 BLUFFTON RD BLDG G101G102",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106221",
            "telephone_number": "843-757-5400",
            "fax_number": "843-757-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY MEDICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "MIKKELSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "843-757-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "15315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PART B",
            "identifier": "080023023",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0137",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "84894",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Low Country Eye Associates, LLC
• Low Country Home Oxygen & Medical
• Low Country Neuropathy
• Lowcountry Center
• Lowcountry Center for Prosthodontic Care
• Lowcountry Mental Health, LLC
• Lowcountry Neuropathy of Hilton Head, LLC
• Lowcountry Nursing Group
• Lowcountry Podiatry PA
• Lowcountry Psychiatric Associates

• Family Medicine Physician in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.