Legacy Internal Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LEGACY INTERNAL MEDICINE LLC

Practice address

550 Long Point Rd Ste 100
Mount Pleasant, SC 29464-8000

Phone

(843) 606-9199

Fax

(843) 718-2858

NPI assigned

Nov 10, 2011

Last updated

Apr 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tina M Botelho, MDNPI 1023044245

Title

Physician/Owner

Phone

(843) 606-9199

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19636/brand/1/csg/1/fhir/r4

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tina M Botelho, MD

  • Internal Medicine Physician
  • Mount Pleasant, SC
  • NPI 1023044245
  Medicare reassignment NPD Authorized official
• Kimberly Lynn Davis-Seagle, M.D.

  • Internal Medicine Physician
  • Mount Pleasant, SC
  • NPI 1265408967
  NPD
• Robert Scott Thompson, M.D.

  • Internal Medicine Physician
  • Mount Pleasant, SC
  • NPI 1093781577
  NPD
• Mary Susan Jones, MD

  • Internal Medicine Physician
  • Mount Pleasant, SC
  • NPI 1316914088
  NPD (past)
• Anna Mays Morgan, M.D.

  • Internal Medicine Physician
  • Mount Pleasant, SC
  • NPI 1215010640
  NPD (past)
• William B Sheldon, MD

  • Internal Medicine Physician
  • Summerville, SC
  • NPI 1811904592
  NPD (past)

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1528345162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 LONG POINT RD STE 100",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648000",
            "telephone_number": "843-606-9199",
            "fax_number": "843-718-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 LONG POINT RD STE 100",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648000",
            "telephone_number": "843-606-9199",
            "fax_number": "843-718-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "BOTELHO",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "843-606-9199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Kaiser Lee, PMHNP
• Eadon Louise Lee, PA-C
• George F Lee, OPTICIAN
• Madeline Anderson Lee, PA
• Sherry Lee, LPN
• Nicole Ann Legare, M.D.
• Travis Lemon, PHARM.D.
• Gregory Lenhart
• April Lenker, NP
• Kristi McCauley Lentsch, M.D.

• Internal Medicine Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.