Organization Active NPI

David W Seignious MD LLC

  • Internal Medicine Physician
  • Johns Island, SC
National Provider Identifier
1790996098
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13235 Issued in SC
Legal business name
DAVID W SEIGNIOUS MD LLC
Practice address
3312 Maybank Hwy
Suite a
Johns Island, SC 29455-4818
Phone
(843) 557-1111
Fax
(843) 557-1050
NPI assigned
May 25, 2007
Last updated
Apr 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
David Seignious, MDNPI 1891726287
Title
Owner
Phone
(843) 557-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13235 SC Primary

Addresses

Primary practice location

3312 Maybank Hwy
Suite a
Johns Island, SC 29455-4818

Mailing address

3312 Maybank Hwy
Suite a
Johns Island, SC 29455-4818
Phone (843) 557-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040426000983 SC Part B Supplier - Clinic/Group Practice 1850387630 Receives reassigned benefits from 1 practitioner
Practice locations: Johns Island, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D1015043David Seignious MD LLC3312 Maybank Higway, Suite a, Johns Island, SC 29455Certificate of waiverJul 21, 2027

National Provider Directory

National Provider Directory

Locations

3312 Maybank Hwy
#A
Johns Island, SC 29455
Phone (843) 557-1111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1790996098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 MAYBANK HWY",
            "address_2": "SUITE A",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554818",
            "telephone_number": "843-557-1111",
            "fax_number": "843-557-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 MAYBANK HWY",
            "address_2": "SUITE A",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554818",
            "telephone_number": "843-557-1111",
            "fax_number": "843-557-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W SEIGNIOUS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "SEIGNIOUS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-557-1111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "13235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.