Sunrise Psychiatry LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SUNRISE PSYCHIATRY LLC

Practice address

721 Long Point Rd Ste 408B
Mt Pleasant, SC 29464-8298

Phone

(843) 810-8591

NPI assigned

Aug 13, 2018

Organization subpart

No

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

Authorized official

Name

Khoa Vo, MDNPI 1225094931

Title

Owner

Phone

(843) 810-8591

Specialties & licenses 1

Addresses

Other names 1

• Khoa Vo MD LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 4

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

• Khoa Vo, MD

  • Psychiatry Physician
  • Mount Pleasant, SC
  • NPI 1225094931
  Medicare reassignment Care Compare group NPD Authorized official
• Joseph Michael Jaffke, PA

  • Family Medicine Physician
  • North Charleston, SC
  • NPI 1467057521
  Medicare reassignment Care Compare group
• Elizabeth Ann Holloway Jensen, DNP, FNP-BC,PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Moncks Corner, SC
  • NPI 1548230220
  Medicare reassignment NPD
• John Richey, PA-C

  • Physician Assistant
  • Charleston, SC
  • NPI 1306455118
  Medicare reassignment

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593734400000",
    "number": "1497234223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 LONG POINT RD STE 408B",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294648298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 LONG POINT RD STE 408B",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294648298",
            "telephone_number": "843-810-8591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2777 Speissegger Dr",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294058229",
            "country_code": "US",
            "telephone_number": "843-747-5830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNRISE PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "KHOA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-810-8591",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Khoa Vo MD LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tatum Sumner
• Sunbelt Medical Solutions
• Ashley Curtis Sundberg, PA-C
• Sunflower Speech and Language Therapy, LLC
• Gerald Sunkin, O.D
• Supportive Care of South Carolina LLC
• Lisa Barr Surratt, PA
• Stela Susac-Pavic, M.D.
• Taylor Marie Suydam, PHARMD
• Mariah Jordan Svantesson, PA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.