Active NPI
Joanna C Ghegan, MD
- Pediatrics Physician
- Mount Pleasant, SC
National Provider Identifier
1649291436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 24483
- Practice address
- 1300 Hospital Dr Ste 310
Mt Pleasant, SC 29464-3217 - Phone
- (843) 737-6030
- Fax
- (843) 207-2289
- NPI assigned
- Jul 21, 2006
- Last updated
- Jul 3, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 24483 | SC | Primary |
Addresses
Primary practice location
1300 Hospital Dr Ste 310
Mt Pleasant, SC 29464-3217
Mailing address
PO Box 8159
Mobile, AL 36689-0159
Phone (251) 414-5810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 244832 | Other | SC | MEDICAL LISENCE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24483 | SC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372809600000",
"number": "1649291436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8159",
"city": "MOBILE",
"state": "AL",
"postal_code": "366890159",
"telephone_number": "251-414-5810",
"fax_number": "251-414-5809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 HOSPITAL DR STE 310",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643217",
"telephone_number": "843-737-6030",
"fax_number": "843-207-2289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHEGAN",
"first_name": "JOANNA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2013-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "24483",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LISENCE NUMBER",
"identifier": "244832",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.