My Caribbean Doctor, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MY CARIBBEAN DOCTOR, P.C.

Practice address

120 N Highway 52 Ste B
Moncks Corner, SC 29461-3996

Phone

(803) 814-5779

NPI assigned

Apr 11, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Kelenne Tuitt, DONPI 1538419429

Title

Chief Executive Officer

Phone

(803) 814-5779

Specialties & licenses 1

Addresses

Other names 1

• My Caribbean Doctor, P.C. Other name

Locations

Practitioners 1

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

• Kelenne V Tuitt, D.O.

  • Family Medicine Physician
  • Bamberg, SC
  • NPI 1538419429
  NPD Authorized official

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1801582127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10070 DORCHESTER RD UNIT 50301",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294852530",
            "telephone_number": "803-814-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N HIGHWAY 52 STE B",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613996",
            "telephone_number": "803-814-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY CARIBBEAN DOCTOR, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "TUITT",
        "authorized_official_first_name": "KELENNE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "803-814-5779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Caribbean Doctor, P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Medicine Physician in Moncks Corner, SC
• Providers in Moncks Corner, 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 Apr 11, 2023; 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.