NPIMap

Individual provider Active NPI

William Edward Kyle, DO

  • Internal Medicine Physician
  • Okatie, SC
National Provider Identifier
1770758351
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36426 Issued in SC
Practice address
14 Okatie Center Blvd S
Suite 101
Okatie, SC 29909
Phone
(843) 836-3800
Fax
(843) 837-7428
NPI assigned
Apr 24, 2008
Last updated
Aug 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36426 SC Primary

Addresses

Primary practice location

14 Okatie Center Blvd S
Suite 101
Okatie, SC 29909

Mailing address

14 Okatie Center Blvd S Ste 101
Okatie, SC 29909-7506
Phone (843) 836-3800

Other identifiers 2

IdentifierTypeStateIssuer
364260MedicaidSC
P01301190OtherSCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, SC, GA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100927000618 TN Practitioner - Emergency MedicinePractitioner - Internal Medicine 7315063427 Reassigns benefits to 1 organization
I20140208000195 SC Practitioner - Internal Medicine 7315063427 Reassigns benefits to 2 organizations
I20181031000798 GA Practitioner - Internal Medicine 7315063427

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lowcountry Urgent Care LLCGroup PAC ID 9739210337, 81 clinicians

Practice addresses (Care Compare)

182 C Sea Island Pkwy
Beaufort, SC 29907-1503
Phone (843) 322-1933

75 Baylor Dr
Suite 155
Bluffton, SC 29910-8965
Phone (843) 682-7480

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates, Inc. CurrentSince Jan 1, 2013 Accepting new patients
Hilton Head Regional Physician Group LLC CurrentSince Jan 1, 2026 Accepting new patients
Lowcountry Urgent Care LLC CurrentSince Aug 1, 2018 Accepting new patients
Hilton Head Regional Physician Group LLC Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jan 1, 2013 Accepting new patients
Wellmont Medical Associates Inc Internal Medicine Current Accepting new patients

Locations

182C Sea Island Pkwy
Beaufort, SC 29907
Phone (843) 322-1933

75 Baylor Dr
Ste 155
Bluffton, SC 29910
Phone (843) 645-8220

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

Organizations & group practices 6

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1770758351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 OKATIE CENTER BLVD S STE 101",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299097506",
            "telephone_number": "843-836-3800",
            "fax_number": "843-837-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 OKATIE CENTER BLVD S",
            "address_2": "SUITE 101",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "29909",
            "telephone_number": "843-836-3800",
            "fax_number": "843-837-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYLE",
        "first_name": "WILLIAM",
        "middle_name": "EDWARD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "36426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364260",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01301190",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okatie, SC

Sources for this page

Verify at the official NPI Registry.