South Carolina Institute of Prosthetics,

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

2693CP Issued in VA

Legal business name

SOUTH CAROLINA INSTITUTE OF PROSTHETICS,

Practice address

300 New River Pkwy
Suite 12
Hardeeville, SC 29927-4450

Phone

(843) 208-2100

Fax

(843) 208-2101

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gregory E James, CP

Title

Branch Manager / Agent

Phone

(843) 208-2100

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902981269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NEW RIVER PKWY",
            "address_2": "SUITE 12",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299274450",
            "telephone_number": "843-208-2100",
            "fax_number": "843-208-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NEW RIVER PKWY",
            "address_2": "SUITE 12",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299274450",
            "telephone_number": "843-208-2100",
            "fax_number": "843-208-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA INSTITUTE OF PROSTHETICS,",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BRANCH MANAGER / AGENT",
        "authorized_official_telephone_number": "843-208-2100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "VA",
            "license": "2693CP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2470",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smiley'S Home Senior Care LLC
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• South Carolina CVS Pharmacy LLC
• Southeast Lung & Critical Care Specialists, PC
• State of Mind Counseling LLC
• Jill E Stephens, COTA
• Ashley Secrest Sutherland, M.D.
• Suzanne M Walker MD LLC

• Customized Equipment (DME) in Hardeeville, SC
• Providers in Hardeeville, SC by specialty
• Customized Equipment (DME) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.