Individual provider Active NPI

Harley Moit, D.O.

  • Plastic and Reconstructive Surgery Physician
  • Mount Pleasant, SC
National Provider Identifier
1700237187
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
93543 Issued in SC
Practice address
1205 Two Island CT Unit 203
Mount Pleasant, SC 29466-7406
Phone
(843) 971-2860
NPI assigned
Jun 27, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 125.069371 IL
Plastic and Reconstructive Surgery Physician 2086S0122X 02006435A IN
Plastic and Reconstructive Surgery Physician 2086S0122X 2024-00961 NC
Plastic and Reconstructive Surgery Physician 2086S0122X 93543 SC Primary

Addresses

Primary practice location

1205 Two Island CT Unit 203
Mount Pleasant, SC 29466-7406

Mailing address

1205 Two Island CT Unit 203
Mount Pleasant, SC 29466-7406
Phone (843) 971-2860

Other practice location 1

545 Barnhill Drive
Emerson Hall 232
Indianapolis, IN 46202-5112
Phone (317) 278-0394

Other practice location 2

624 NE Glen Oak Ave
Peoria, IL 61603-3135
Phone (309) 655-3971

Other identifiers 1

IdentifierTypeStateIssuer
300052313MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20160727000575 IL Order and Referring Only - General SurgeryPractitioner - General Surgery 5193018265

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.069371ILMDSurgery Physician
02006435AINMDPlastic and Reconstructive Surgery Physician
2024-00961NCMDPlastic and Reconstructive Surgery Physician
93543SCMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lowcountry Plastic Surgery Center LLC CurrentSince Feb 23, 2025 Accepting new patients
Mark J Segal MD LLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

1205 Two Island Ct
Unit 203
Mt Pleasant, SC 29466
Phone (843) 971-2860

Interoperability endpoints

  • Direct secure messaging: hmoit2906384@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1700237187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 TWO ISLAND CT UNIT 203",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667406",
            "telephone_number": "843-971-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 TWO ISLAND CT UNIT 203",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667406",
            "telephone_number": "843-971-2860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Barnhill Drive",
            "address_2": "Emerson Hall 232",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025112",
            "country_code": "US",
            "telephone_number": "317-278-0394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "624 NE Glen Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616033135",
            "country_code": "US",
            "telephone_number": "309-655-3971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOIT",
        "first_name": "HARLEY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-27",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "125.069371",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IN",
            "license": "02006435A",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NC",
            "license": "2024-00961",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "SC",
            "license": "93543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300052313",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.