Active NPI
SC Cardiovascular Associates LLC
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Mount Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 12973
- Legal business name
- SC CARDIOVASCULAR ASSOCIATES LLC
- Practice address
- 1156 Bowman Rd Unit 103
Mount Pleasant, SC 29464-3803 - Phone
- (843) 654-7337
- NPI assigned
- Dec 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Lamar Edwards, MD
- Title
- Owner
- Phone
- (843) 654-7337
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 12973 | SC | Primary |
Addresses
Primary practice location
1156 Bowman Rd Unit 103
Mount Pleasant, SC 29464-3803
Mailing address
102 Ashley Ave Apt a
Charleston, SC 29401-6206
Phone (843) 654-7337
Other practice location 1
2000 Hospital Dr
Mount Pleasant, SC 29464-3764
Phone (843) 654-7337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP3500 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2791 Tricom St
Ste 101
North Charleston, SC 29406
Phone (843) 572-2100
9213 University Blvd
Ste C
North Charleston, SC 29406
Phone (843) 572-2100
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Mount Pleasant, SC
- NPI 1649331729
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Bremerton, WA
- NPI 1669439527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742515200000",
"number": "1508927591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 ASHLEY AVE APT A",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294016206",
"telephone_number": "843-654-7337",
"fax_number": "843-654-7336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1156 BOWMAN RD UNIT 103",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643803",
"telephone_number": "843-654-7337"
}
],
"practiceLocations": [
{
"address_1": "2000 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Mount Pleasant",
"state": "SC",
"postal_code": "294643764",
"country_code": "US",
"telephone_number": "843-654-7337",
"fax_number": "843-654-7336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SC CARDIOVASCULAR ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "LAMAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-654-7337",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "SC",
"license": "12973",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP3500",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.