Ioannis M Livaditis, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

39388 Issued in SC

Practice address

1315 Roberts St
Camden, SC 29020-3737

Phone

(803) 432-4311

Fax

(803) 438-4391

NPI assigned

Jul 30, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ilivaditis379620@direct.musc.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McLeod Health Clarendon

  • Certified Registered Nurse Anesthetist
  • Manning, SC
  • NPI 1508218793
  Medicare reassignment NPD
• McLeod Loris Seacoast Hospital

  dba McLeod Loris/Seacoast Physicians

  • Certified Registered Nurse Anesthetist
  • Loris, SC
  • NPI 1265708119
  Medicare reassignment NPD
• McLeod Physician Associates II

  • Family Medicine Physician
  • Florence, SC
  • NPI 1801990494

  Pediatrics

  Medicare reassignment NPD
• Musc Community Physicians

  dba MUSC Community Physicians Specialty

  • Internal Medicine Physician
  • Bamberg, SC
  • NPI 1841878006
  Medicare reassignment NPD
• McLeod Health Clarendon

  dba McLeod Family Medicine-Timmonsville

  • Rural Health Clinic/Center
  • Timmonsville, SC
  • NPI 1003461773
  NPD
• McLeod Health Clarendon

  dba Eagerton Family Medicine

  • Rural Health Clinic/Center
  • Manning, SC
  • NPI 1962851097
  NPD
• McLeod Loris Seacoast Hospital

  dba McLeod Choice Pharmacy Seacoast

  • Community/Retail Pharmacy
  • Little River, SC
  • NPI 1629387352
  NPD
• McLeod Physician Associates II

  dba McLeod Orthopaedics - Florence

  • Orthopaedic Surgery Physician
  • Florence, SC
  • NPI 1922555739
  NPD
• Musc Community Physicians

  dba MUSC Health Primary Care - Bowman

  • Rural Health Clinic/Center
  • Bowman, SC
  • NPI 1225735772
  NPD
• McLeod Health Clarendon

  • Rural Acute Care Hospital
  • Manning, SC
  • NPI 1205284411
  NPD (past)
• McLeod Medical Center-Dillon

  • General Acute Care Hospital
  • Dillon, SC
  • NPI 1598746141
  NPD (past)
• McLeod Physician Associates II

  dba McLeod Family Medicine - Dillon

  • Family Medicine Physician
  • Dillon, SC
  • NPI 1568434249
  NPD (past)

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503532800000",
    "number": "1750637633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 S ALAMEDA ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ROBERTS ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290203737",
            "telephone_number": "803-432-4311",
            "fax_number": "803-438-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVADITIS",
        "first_name": "IOANNIS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-30",
        "last_updated": "2017-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "39388",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "39388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyra Ledwell
• Celestine D Lee, CERTIFIED HAIR LOSS
• Shanna Nicole Lewis
• Lifeforte Associates, Inc.
• Linda C McLeod, MD, PA (McLeod Women's Center)
• Julie Anne Locklair, LISW-CP
• Low Country Physicians Group, LLC
• Ashley Eleanor Eskridge Lowther
• Crystal M Loynes, MA, CCC-SLP
• Yvette F. Loynes

• Pediatrics Physician in Camden, SC
• Providers in Camden, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.