Serene Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SERENE MEDICINE LLC

Practice address

107 Seagrass Station Rd
Bluffton, SC 29910-9549

Phone

(843) 836-8200

NPI assigned

Apr 16, 2020

Organization subpart

No

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

Authorized official

Name

Lerissa Antonio, MD

Title

Sole Member

Phone

(912) 272-5549

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1629698956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SOUNDING POINT RETREAT",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314112839",
            "telephone_number": "912-272-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SEAGRASS STATION RD",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109549",
            "telephone_number": "843-836-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "ANTONIO",
        "authorized_official_first_name": "LERISSA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "912-272-5549",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730406778",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seaside Professional Services LLC
• Justin Armando Selva, DPT
• Lindsay Marie Senalik, D.C.
• Brynn Serbin
• Serene Home Care, LLC
• Charles Sevastos, DO
• Jennifer Shattuck, MCD, CCC-SLP
• Sherwood Miler DMD LLC
• Fred Shinn, MPT
• Paul Christopher Shirley, DMD

• Internal Medicine Physician in Bluffton, SC
• Providers in Bluffton, 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 16, 2020; 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.