Individual provider Active NPI

Linda Cassidy Fairchild, MD

  • Ophthalmology Physician
  • Mount Pleasant, SC
National Provider Identifier
1508430059
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
86153 Issued in SC
Practice address
574 Lone Tree Dr
Mount Pleasant, SC 29464-8170
Phone
(843) 856-5275
NPI assigned
May 19, 2021
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 86153 SC Primary

Addresses

Primary practice location

574 Lone Tree Dr
Mount Pleasant, SC 29464-8170

Mailing address

574 Lone Tree Dr
Mount Pleasant, SC 29464-8170
Phone (843) 856-5275

Other names 1

  • Linda Cassidy Davis Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251103000375 SC Practitioner - Ophthalmology 4486058724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of South Carolina School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston Cornea and Refractive Surgery, PAGroup PAC ID 3375511041, 3 clinicians

Practice addresses (Care Compare)

574 Lone Tree Dr
Mt Pleasant, SC 29464-8170
Phone (843) 856-5275

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86153SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Cornea & Refractive Surgery, PA Ophthalmology CurrentSince Sep 1, 2025 Accepting new patients

Locations

574 Lone Tree Dr
Mt Pleasant, SC 29464
Phone (843) 856-5275

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1508430059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 LONE TREE DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648170",
            "telephone_number": "843-856-5275",
            "fax_number": "843-856-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 LONE TREE DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648170",
            "telephone_number": "843-856-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRCHILD",
        "first_name": "LINDA",
        "middle_name": "CASSIDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "86153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "DAVIS",
            "middle_name": "CASSIDY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.