Alexander Dix Soutter, MD

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

51283 Issued in SC

Practice address

295A Midland Pkwy Ste 120
Summerville, SC 29485-5901

Phone

(843) 695-2700

Fax

(843) 875-4046

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Carolina Multispecialty Associates, LLC

  • Specialist
  • Summerville, SC
  • NPI 1518079102
  Medicare reassignment NPD
• Coastal Carolina Multispecialty Assocs, LLC

  • Specialist
  • North Charleston, SC
  • NPI 1184730749
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1629096763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295A MIDLAND PKWY STE 120",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855901",
            "telephone_number": "843-695-2700",
            "fax_number": "843-875-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295A MIDLAND PKWY STE 120",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855901",
            "telephone_number": "843-695-2700",
            "fax_number": "843-875-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTTER",
        "first_name": "ALEXANDER",
        "middle_name": "DIX",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "SC",
            "license": "51283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "512831",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ALEXANDER.SOUTTER@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "295A Midland Pkwy Ste 260",
            "city": "Summerville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294855901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• South Carolina Diagnost Imaging Inc
• South Carolina Homecare, LLC
• South Carolina Sleep Medicine LLC
• Southern Coast Spine & Pain Specialists LLC
• Southern Smiles
• Space and Time Counseling LLC
• Speak Hope, LLC
• Speak Up Speech Therapy, LLC
• Speakeasy Counseling
• Spear Educational Services

• Pediatric Surgery Physician in Summerville, SC
• Providers in Summerville, SC by specialty
• Pediatric Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.