Organization Active NPI

Lowcountry Medical Associates

  • Internal Medicine Physician
  • North Charleston, SC
National Provider Identifier
1851342901
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LOWCOUNTRY MEDICAL ASSOCIATES
Practice address
3955 Faber Place Dr
Suite 202
North Charleston, SC 29405-8578
Phone
(843) 207-1760
NPI assigned
May 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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 1

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

Addresses

Primary practice location

3955 Faber Place Dr
Suite 202
North Charleston, SC 29405-8578

Mailing address

3955 Faber Place Dr
Suite 202
North Charleston, SC 29405-8578
Phone (843) 207-1760

Other identifiers 1

IdentifierTypeStateIssuer
GP1747MedicaidSC

Other names 1

  • North Charleston Internal Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

8 Sawgrass Rd
Ste 2
Charleston, SC 29412
Phone (843) 937-8101

2075 Eagle Landing Blvd
Hanahan, SC 29410

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1851342901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 FABER PLACE DR",
            "address_2": "SUITE 202",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294058578",
            "telephone_number": "843-207-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 FABER PLACE DR",
            "address_2": "SUITE 202",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294058578",
            "telephone_number": "843-207-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2007-10-25",
        "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 SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1747",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Charleston Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.