Active NPI
Lowcountry Surgical Associates, PA
- Specialist
- Walterboro, SC
National Provider Identifier
1821277815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 20022
- Legal business name
- LOWCOUNTRY SURGICAL ASSOCIATES, PA
- Practice address
- 901 Robertson Blvd
Walterboro, SC 29488-3171 - Phone
- (843) 549-8003
- Fax
- (843) 549-8006
- NPI assigned
- Oct 26, 2007
- Last updated
- May 10, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda K Henderson
- Title
- Office Manager
- Phone
- (843) 549-8003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 20022 | SC | Primary |
Addresses
Primary practice location
901 Robertson Blvd
Walterboro, SC 29488-3171
Mailing address
901 Robertson Blvd
Walterboro, SC 29488-3171
Phone (843) 549-8003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
901 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-6729
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFEEAA
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Surgery Physician
- Walterboro, SC
- NPI 1174588263
-
- Chiropractor
- Walterboro, SC
- NPI 1366428138
-
- Physical Medicine & Rehabilitation Physician
- Bluffton, SC
- NPI 1801898432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304985600000",
"number": "1821277815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 ROBERTSON BLVD",
"city": "WALTERBORO",
"state": "SC",
"postal_code": "294883171",
"telephone_number": "843-549-8003",
"fax_number": "843-549-8006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 ROBERTSON BLVD",
"city": "WALTERBORO",
"state": "SC",
"postal_code": "294883171",
"telephone_number": "843-549-8003",
"fax_number": "843-549-8006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOWCOUNTRY SURGICAL ASSOCIATES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-26",
"last_updated": "2011-05-10",
"status": "A",
"authorized_official_last_name": "HENDERSON",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "843-549-8003"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "20022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walterboro, SC
- Lowcountry Center for Diabetes & Endocrinology PA
- Lowcountry Imaging Associates, LLC
- Lowcountry Medical Associates (Carolina Family Medicine of Walterboro)
- Lowcountry Rehabilitation LP
- Lowcountry Speech Therapy Services & Associates, LLC (Faith Sherrod)
- Mary Virginia Girardeau Lucas, APRN, FNP-C, PMHNP
- Travone Jemall Lumsden, PHARMD
- Caleb Joseph Lusk
- Amanda K Lyons, B.S.
- Kameaka Latrice Mack-Garvin, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.