John Douglas Sutterlin III, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17955 Issued in SC

Practice address

7 S Alliance Dr Ste 211B
Goose Creek, SC 29445-7269

Phone

(843) 553-4383

Fax

(843) 553-4384

NPI assigned

May 17, 2006

Last updated

Jun 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Family Practice

Education

University of Kentucky College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Palmetto Primary Care Physicians LLCGroup PAC ID 4880508068, 148 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health of Charleston Home health agency, North Charleston, SC, CCN 427005
• Centerwell Home Health Home health agency, North Charleston, SC, CCN 427035
• Roper-St. Francis Home Health Home health agency, Charleston, SC, CCN 427042
• Interim Healthcare Home health agency, North Charleston, SC, CCN 427132
• Trident Medical Center Hospital, Charleston, SC, CCN 420079
• Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110
• Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.sutterlin@ppcp1.eclinicaldirectplus.com

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.

• Palmetto Primary Care Physicians, LLC

  dba PPCP Canterbury House

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1073234928
  Medicare reassignment Care Compare group NPD
• Palmetto Primary Care Physicians, LLC

  • Family Medicine Physician
  • Goose Creek, SC
  • NPI 1154605707
  NPD
• Palmetto Primary Care Physicians, LLC

  • Family Medicine Physician
  • Summerville, SC
  • NPI 1366123739
  NPD
• Palmetto Primary Care Physicians, LLC

  • Family Medicine Physician
  • Summerville, SC
  • NPI 1265690382
  NPD (past)

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

• Amedisys Home Health of South Carolina LLC

  dba Amedisys Home Health of Charleston

  • Home Health Agency
  • North Charleston, SC
  • NPI 1033177290
  Care Compare affiliation
• Bon Secours St. Francis Xavier Hospital Inc.

  dba Roper St. Francis Intensivist Services

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1851361778
  Care Compare affiliation
• Centerwell Certified Healthcare Corp.

  dba CenterWell Home Health

  • Home Health Agency
  • North Charleston, SC
  • NPI 1285899526
  Care Compare affiliation
• Lowcountry Nursing Group LLC

  dba Interim Healthcare

  • Nursing Care Agency
  • North Charleston, SC
  • NPI 1063422988

  Home health agency

  Care Compare affiliation
• Roper St Francis Ancillary Services

  dba Roper St. Francis Home Health

  • Home Health Agency
  • Ladson, SC
  • NPI 1619947140
  Care Compare affiliation
• Roper St Francis Hospital-Berkeley Inc.

  dba Roper St. Francis Intensivist Services

  • General Acute Care Hospital
  • Summerville, SC
  • NPI 1336603646
  Care Compare affiliation
• Trident Medical Center, LLC

  dba HCA Healthcare Trident Hospital

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1366496937
  Care Compare affiliation

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1780636423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530062",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530062",
            "telephone_number": "843-695-6071",
            "fax_number": "843-569-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 S ALLIANCE DR STE 211B",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457269",
            "telephone_number": "843-553-4383",
            "fax_number": "843-553-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTERLIN",
        "first_name": "JOHN",
        "middle_name": "DOUGLAS",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "17955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080187342",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179550",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lacy Sundberg, MSN
• Superior Healthcare LLC
• Susan K Jones LLC
• Gary Michael Sussman, PSY.D.
• Jessica Mae Sutkowski, RN
• Jennifer K. Swiler, APRN/FNP
• Jennifer Talbert, ORT/L
• Cayce C. Tangeman, M.D.
• Amanda Brooke Taylor
• Tiffany Taylor, PHARMD

• Family Medicine Physician in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.
• 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.

Verify at the official NPI Registry.