Active NPI
Low Country Pathology Associates PA
- Anatomic Pathology & Clinical Pathology Physician
- N Charleston, SC
National Provider Identifier
1528035557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- LOW COUNTRY PATHOLOGY ASSOCIATES PA
- Practice address
- 9330 Medical Plaza Dr
Department of Pathology
N Charleston, SC 29406-9104 - Phone
- (843) 797-4179
- Fax
- (843) 797-4296
- NPI assigned
- Mar 8, 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
- Mrs. Frances S Puckett
- Title
- President Financial Director
- Phone
- (864) 223-3070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
9330 Medical Plaza Dr
Department of Pathology
N Charleston, SC 29406-9104
Mailing address
PO Box 49009
Greenwood, SC 29649-0001
Phone (864) 223-3070
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CC5424 | Other | RAILROAD MEDICARE | |
| GP1425 | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431388800000",
"number": "1528035557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 49009",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296490001",
"telephone_number": "864-223-3070",
"fax_number": "864-223-1396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9330 MEDICAL PLAZA DR",
"address_2": "DEPARTMENT OF PATHOLOGY",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294069104",
"telephone_number": "843-797-4179",
"fax_number": "843-797-4296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOW COUNTRY PATHOLOGY ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-08",
"last_updated": "2015-05-12",
"status": "A",
"authorized_official_last_name": "PUCKETT",
"authorized_official_first_name": "FRANCES",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT FINANCIAL DIRECTOR",
"authorized_official_telephone_number": "864-223-3070",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CC5424",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP1425",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in N Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.