Active NPI
Focus SC 1009, LLC
- Pediatric Adolescent Medicine Physician
- Mount Pleasant, SC
National Provider Identifier
1871924167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- Legal business name
- FOCUS SC 1009, LLC
- Practice address
- 900 Bowman Rd
Suite 303
Mt Pleasant, SC 29464 - Phone
- (843) 593-9332
- NPI assigned
- Dec 11, 2013
- 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
- James C Wiley, MD
- Title
- Owner
- Phone
- (251) 301-8276
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | |||
| Pediatrics Physician | 208000000X | |||
| Pediatric Adolescent Medicine Physician | 2080A0000X | Primary | ||
| Developmental - Behavioral Pediatrics Physician | 2080P0006X |
Addresses
Primary practice location
900 Bowman Rd
Suite 303
Mt Pleasant, SC 29464
Mailing address
900 Bowman Rd
Suite 303
Mt. Pleasant, SC 29464
Phone (843) 593-9332
National Provider Directory
National Provider DirectoryLocations
900 Bowman Rd
Ste 303
Mt Pleasant, SC 29464
Phone (843) 593-9332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492992000000",
"number": "1871924167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 BOWMAN RD",
"address_2": "SUITE 303",
"city": "MT. PLEASANT",
"state": "SC",
"postal_code": "29464",
"telephone_number": "843-593-9332",
"fax_number": "251-414-5809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 BOWMAN RD",
"address_2": "SUITE 303",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "29464",
"telephone_number": "843-593-9332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOCUS SC 1009, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-11",
"last_updated": "2017-04-24",
"status": "A",
"authorized_official_last_name": "WILEY",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "251-301-8276",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QA0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adolescent Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080P0006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
- Five Star Quality Care-Obx Operator, LLC (Sweetgrass Village Senior Living Community)
- Five Star Rehabilitation and Wellness Services, LLC. (Ageility Physical Therapy Solutions at Mount Pleasant)
- Holly Flak, MA, CCC-SLP
- Karolyn Florek, DC
- Louisa G Floyd, PA-C
- Focus.MD-SC 1001
- Focused Foundations, LLC
- Lyska Fogleman, M.S. CF-SLP
- Francisco Andres Folgar, M.D.
- Thomas Gregg Folse, MA, MAP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.