Active NPI
Molly Kate Lewis, CRNA
- Certified Registered Nurse Anesthetist
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 29035
- Practice address
- 9263 Medical Plaza Dr Ste E
Charleston, SC 29406-7112 - Phone
- (843) 572-1228
- NPI assigned
- Jun 7, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 111137 | WV | |
| Certified Registered Nurse Anesthetist | 367500000X | 29035 | SC | Primary |
Addresses
Primary practice location
9263 Medical Plaza Dr Ste E
Charleston, SC 29406-7112
Mailing address
PO Box 632509
Cincinnati, OH 45263-2509
Phone (803) 765-1838
Other practice location 1
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1436
Other practice location 2
501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN4330 | Medicaid | SC |
Other names 1
- Molly Kate Cavanaugh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-2028
9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (843) 797-7000
Hospital & facility affiliations
- Trident Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111137 | WV | MD | Critical Care Medicine Registered Nurse |
| 29035 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Anesthesia Associates, LLC | Current | Accepting new patients | |
| Trident Anesthesia Group, LLC | Current | Accepting new patients |
Locations
423 Barony St
Moncks Corner, SC 29461
9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366
9263 Medical Plaza Dr
Ste E
North Charleston, SC 29406
Phone (843) 572-1228
9313 Medical Plaza Dr
Ste 102
North Charleston, SC 29406
Phone (843) 572-1228
130 Edge St
Summerville, SC 29486
Phone (843) 628-5816
295 Midland Pkwy
Summerville, SC 29485
Phone (843) 554-6366
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1376595520
-
- Cardiovascular Disease Physician
- Charleston, SC
- NPI 1740502822
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1942252176
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1720717549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 632509",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452632509",
"telephone_number": "803-765-1838",
"fax_number": "803-765-1732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9263 MEDICAL PLAZA DR STE E",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294067112",
"telephone_number": "843-572-1228"
}
],
"practiceLocations": [
{
"address_1": "2095 Henry Tecklenburg Dr",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294145733",
"country_code": "US",
"telephone_number": "843-402-1436",
"fax_number": "843-402-1833",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 Morris St",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253011326",
"country_code": "US",
"telephone_number": "304-388-5431",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "MOLLY",
"middle_name": "KATE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-07",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "WV",
"license": "111137",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "29035",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN4330",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MOLLY",
"last_name": "CAVANAUGH",
"middle_name": "KATE",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.