Low Country ENT PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

207Y00000X Issued in SC

Legal business name

LOW COUNTRY ENT PA

Practice address

2850 Tricom St
North Charleston, SC 29406-9192

Phone

(843) 863-1188

Fax

(843) 863-8286

NPI assigned

Oct 10, 2007

Organization subpart

No

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

Authorized official

Name

Trisha Falls

Title

Practice Manager

Phone

(843) 863-1188

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russell David Kitch, M.D.

  • Otolaryngology Physician
  • North Charleston, SC
  • NPI 1992705099
  Medicare reassignment Care Compare group
• Debra Anne Mack, PA-C

  • Physician Assistant
  • North Charleston, SC
  • NPI 1598300840
  Medicare reassignment Care Compare group
• Kristen Maria Bish, AUD

  • Audiologist
  • Summerville, SC
  • NPI 1245261486
  NPD (past)
• Jennifer Joy Esse, AU.D.

  • Audiologist
  • Daniel Island, SC
  • NPI 1992792725
  NPD (past)
• Savannah Halter, PA-C

  • Medical Physician Assistant
  • North Charleston, SC
  • NPI 1437923075
  NPD (past)
• Robin Lynn Varella, APRN

  • Family Nurse Practitioner
  • Daniel Island, SC
  • NPI 1538152376
  NPD (past)
• Jeffrey Richard Fenwick, MD

  • Otolaryngology Physician
  • Springfield, MO
  • NPI 1306846407
  NPD (past)
• Darby Donovan Marshall, MD

  • Otolaryngology Physician
  • Scottsboro, AL
  • NPI 1265432371
  NPD (past)

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1740478288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 TRICOM ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069192",
            "telephone_number": "843-863-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 TRICOM ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069192",
            "telephone_number": "843-863-1188",
            "fax_number": "843-863-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOW COUNTRY ENT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "FALLS",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "843-863-1188"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "207Y00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2380",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR RUSSELL D. KITCH MD",
            "identifier": "1992705099",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katalyna Maria Loria
• Karen Loury
• Olivia Mary Louise Love, PA-C
• Low Country Ambulance, LLC
• Low Country Counseling
• Low Country Internal Medicine of SC, P.a.
• Low Country Professional Intervention Services
• Lowcountry Family Support Services
• Lowcountry Home Respiratory
• Lowcountry Lotus Counseling

• Specialist in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.