Active NPI
Katrina Cochran, NP
- Family Medicine Physician
- Moncks Corner, SC
National Provider Identifier
1679453922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 30919
- Practice address
- 1110 Sugar Hill Dr
Moncks Corner, SC 29461-6003 - Phone
- (843) 693-9228
- NPI assigned
- Sep 6, 2025
- Last updated
- Sep 6, 2025
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 30919 | SC | Primary |
Addresses
Primary practice location
1110 Sugar Hill Dr
Moncks Corner, SC 29461-6003
Mailing address
1110 Sugar Hill Dr
Moncks Corner, SC 29461-6003
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30919 | SC | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757116800000",
"number": "1679453922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 SUGAR HILL DR",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294616003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 SUGAR HILL DR",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294616003",
"telephone_number": "843-693-9228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHRAN",
"first_name": "KATRINA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-06",
"last_updated": "2025-09-06",
"certification_date": "2025-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "30919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moncks Corner, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.