Individual provider Active NPI

Ahmad I Issa, M.D.

  • Hospitalist Physician
  • Mount Pleasant, SC
National Provider Identifier
1689946212
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME120546 Issued in FL
Practice address
1952 Long Grove Dr Ste 2
Mount Pleasant, SC 29464-7579
Phone
(854) 800-2377
NPI assigned
Jan 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME120546 FL
Hospitalist Physician 208M00000X ME120546 FL Primary

Addresses

Primary practice location

1952 Long Grove Dr Ste 2
Mount Pleasant, SC 29464-7579

Mailing address

2262 Norwood Oaks Dr
Mount Pleasant, SC 29466-7027
Phone (813) 751-5055

Other practice location 1

943 S Beneva Rd Ste 306
Sarasota, FL 34232-2473
Phone (941) 955-1108 ext. 1124

Other practice location 2

943 S Beneva Rd Ste 306
Sarasota, FL 34232-2473
Phone (941) 955-1108 ext. 1124

Other practice location 3

2810 W Saint Isabel St
Suite 201
Tampa, FL 33607-6375
Phone (813) 890-8004

Other practice location 4

119 Oakfield Dr
Brandon, FL 33511-5779
Phone (855) 421-2733

Other identifiers 2

IdentifierTypeStateIssuer
012360600MedicaidFL
P01384022OtherFLMEDICARE RAILROAD PROVIDER NUMBER

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200811000426 SC Practitioner - Internal Medicine 1557504677 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Carolina Group Services, LLCGroup PAC ID 1759525777, 19 clinicians
Southeastern Hospitalist Services PCGroup PAC ID 3476855420, 301 clinicians

Practice addresses (Care Compare)

2000 Hospital Dr
Mount Pleasant, SC 29464-3764
Phone (843) 881-0100

9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (843) 847-4559

Hospital & facility affiliations

  • Trident Medical Center Hospital, Charleston, SC, CCN 420079
  • Novant Health East Cooper Medical Center Hospital, Mount Pleasant, SC, CCN 420089
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004
  • Colleton Medical Center Hospital, Walterboro, SC, CCN 420030

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
80.46 of 100Reported as group
Quality
47.5
Promoting interoperability
100
Improvement activities
40
Cost
83.42

Merit-based Incentive Payment System (MIPS)

Final score
88.55 of 100Reported as group
Quality
85
Promoting interoperability
100
Improvement activities
40
Cost
76.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME120546FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Hospitalist Services PC Internal Medicine CurrentSince Dec 1, 2020 Accepting new patients
Waccamaw Community Hospital CurrentSince Jun 1, 2023 Accepting new patients
Georgetown Memorial Hospital CurrentSince Jun 1, 2023 Accepting new patients
South Carolina Group Services, LLC Hospitalist CurrentSince Jun 1, 2025 Accepting new patients
Georgetown Memorial Hospital CurrentSince Jun 1, 2023 Accepting new patients
Trident Medical Center, LLC Past Accepting new patients

Locations

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1689946212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2262 NORWOOD OAKS DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667027",
            "telephone_number": "813-751-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 LONG GROVE DR STE 2",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647579",
            "telephone_number": "854-800-2377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "943 S Beneva Rd Ste 306",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342322473",
            "country_code": "US",
            "telephone_number": "941-955-1108 x1124",
            "fax_number": "941-954-4440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "943 S Beneva Rd Ste 306",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342322473",
            "country_code": "US",
            "telephone_number": "941-955-1108 x1124",
            "fax_number": "941-954-4440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2810 W Saint Isabel St",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076375",
            "country_code": "US",
            "telephone_number": "813-890-8004",
            "fax_number": "813-290-9691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 OAKFIELD DR",
            "address_purpose": "LOCATION",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115779",
            "country_code": "US",
            "telephone_number": "855-421-2733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISSA",
        "first_name": "AHMAD",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-27",
        "last_updated": "2025-05-15",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME120546",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME120546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012360600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PROVIDER NUMBER",
            "identifier": "P01384022",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.