Epicentre, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

EPICENTRE, LLC

Practice address

2679 Lake Park Dr
North Charleston, SC 29406-9100

Phone

(843) 804-6010

NPI assigned

Oct 14, 2025

Organization subpart

No

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

Authorized official

Name

Kenosha D GleatonNPI 1235268210

Title

Owner

Phone

(843) 804-6010

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Epicentre LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Epicentre, LLC

  • Obstetrics & Gynecology Physician
  • Charleston, SC
  • NPI 1194363580
  NPD tax ID

Locations

Practitioners 1

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

• Kenosha Dequay Gleaton, MD

  • Obstetrics & Gynecology Physician
  • Charleston, SC
  • NPI 1235268210
  NPD Authorized official

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1497621759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2048 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145830",
            "telephone_number": "843-804-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2679 LAKE PARK DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069100",
            "telephone_number": "843-804-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPICENTRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "GLEATON",
        "authorized_official_first_name": "KENOSHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-804-6010"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Endurance Nutrition
• Andrew Ira Engel, O.D.
• Kathryn E Eno
• Epc SC Aco LLC
• Ephesians 320 Counseling LLC
• Debbie Aydlett Epstein, REGISTERED NURSE
• Anna Ericsson
• Carla Escobar, FNP-C
• Nazanin Esmaili Javadi Langeroudi, PT
• Essilor Laboratories of America, Inc

• Obstetrics & Gynecology Physician in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Obstetrics & Gynecology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.