Active NPI
Prentis Richard Gunter Sr., MD
- Psychiatry Physician
- Mount Pleasant, SC
National Provider Identifier
1699826164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 6398
- Practice address
- 2165 Country Manor Dr
Mount Pleasant, SC 29466-7456 - Phone
- (843) 327-4935
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 6398 | SC | Primary |
Addresses
Primary practice location
2165 Country Manor Dr
Mount Pleasant, SC 29466-7456
Mailing address
2165 Country Manor Dr
Mount Pleasant, SC 29466-7456
Phone (843) 327-4935
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 327877 | Medicaid | SC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6398 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Dept of Mental Health Accounting Office | Past | Accepting new patients | |
| Vo of Arizona, Inc. | Past | Accepting new patients | |
| Vo of Arizona, Inc. | Past | Accepting new patients | |
| Magellan Health Services of Arizona, Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
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- Mental Health Clinic/Center (Including Community Mental Health Center)
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- NPI 1245279595
-
- Case Management Agency
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- NPI 1194965145
-
- Clinical Medical Laboratory
- Glendale, AZ
- NPI 1447458682
-
- Case Management Agency
- Phoenix, AZ
- NPI 1730139593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357689600000",
"number": "1699826164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2165 COUNTRY MANOR DR",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294667456",
"telephone_number": "843-327-4935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2165 COUNTRY MANOR DR",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294667456",
"telephone_number": "843-327-4935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNTER",
"first_name": "PRENTIS",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2013-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "6398",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "327877",
"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 Jan 9, 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.