Organization Active NPI

Lowcountry Medical Associates

  • Internal Medicine Physician
  • Moncks Corner, SC
National Provider Identifier
1790735975
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LOWCOUNTRY MEDICAL ASSOCIATES
Practice address
730 Stoney Landing Rd
Suite 200
Moncks Corner, SC 29461-2948
Phone
(843) 761-6556
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Linda C Shoemaker
Title
Coo
Phone
(843) 937-8101

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X SC Primary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X SC

Addresses

Primary practice location

730 Stoney Landing Rd
Suite 200
Moncks Corner, SC 29461-2948

Mailing address

730 Stoney Landing Rd
Suite 200
Moncks Corner, SC 29461-2948
Phone (843) 761-6556

Other identifiers 1

IdentifierTypeStateIssuer
GP2471MedicaidSC

Other names 1

  • Moncks Corner Primary Care Doing business as

National Provider Directory

National Provider Directory

Locations

349 Folly Rd
Ste B
Charleston, SC 29412
Phone (843) 762-2323

615 Wesley Dr
Ste 300
Charleston, SC 29407
Phone (843) 266-4400

8 Farmfield Ave
Ste 8
Charleston, SC 29407
Phone (843) 266-4000

16B Windermere Blvd
Charleston, SC 29407
Phone (843) 762-2323

2270 Ashley Crossing Dr
#170W
Charleston, SC 29414
Phone (843) 747-7969

110 Springhall Dr
Goose Creek, SC 29445
Phone (843) 266-2520

180 Wingo Way
Ste 306
Mt Pleasant, SC 29464
Phone (843) 884-1777

929 Bowman Rd
#A
Mt Pleasant, SC 29464
Phone (843) 884-1777

180 Wingo Way
Mt Pleasant, SC 29464
Phone (843) 284-0818

570 Long Point Rd
Mt Pleasant, SC 29464
Phone (843) 849-9339

4450 Leeds Pl W
North Charleston, SC 29405
Phone (843) 937-8101

415 Robertson Blvd
Ste D
Walterboro, SC 29488
Phone (843) 549-8444

Practitioners & affiliated clinicians

Practitioners 91

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

View all 91

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1790735975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 STONEY LANDING RD",
            "address_2": "SUITE 200",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294612948",
            "telephone_number": "843-761-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 STONEY LANDING RD",
            "address_2": "SUITE 200",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294612948",
            "telephone_number": "843-761-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "843-937-8101"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "SC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2471",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moncks Corner Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moncks Corner, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.