NPIMap

Organization Active NPI

Plantation Pediartics, LLC

  • Internal Medicine Physician
  • Charleston, SC
National Provider Identifier
1598263097
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PLANTATION PEDIARTICS, LLC
Practice address
1483 Tobias Gadson Blvd Ste 101
Charleston, SC 29407-4795
Phone
(843) 531-9961
Fax
(843) 531-9961
NPI assigned
Jan 30, 2018
Last updated
Jan 30, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
PLANTATION PEDIARTICS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Authorized official

Name
Ms. Angie Taylor
Title
Ceo
Phone
(843) 766-6308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X SC Primary

Addresses

Primary practice location

1483 Tobias Gadson Blvd Ste 101
Charleston, SC 29407-4795

Mailing address

1871 Savage Rd
Charleston, SC 29407-4726
Phone (843) 531-9961

National Provider Directory

National Provider Directory
Tax ID family
Plantation Pediatrics LLC2 organizations share this tax ID, including this one
Part of
Plantation Pediatrics LLC

Other organizations with this tax ID 1

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

Locations

1871 Savage Rd
Charleston, SC 29407
Phone (843) 766-6308

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1598263097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 SAVAGE RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074726",
            "telephone_number": "843-531-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 TOBIAS GADSON BLVD STE 101",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074795",
            "telephone_number": "843-531-9961",
            "fax_number": "843-531-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANTATION PEDIARTICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLANTATION PEDIARTICS, LLC",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-766-6308",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.