Active NPI
East Cooper Physician Group LLC
- Surgery Physician
- Mt Pleasant, SC
National Provider Identifier
1962263442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- EAST COOPER PHYSICIAN GROUP LLC
- Practice address
- 1280 Hospital Dr Unit 302
Mt Pleasant, SC 29464-1901 - Phone
- (999) 999-9999
- NPI assigned
- Jan 22, 2024
- 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
- Doreatha Rogers
- Title
- RCS Manager
- Phone
- (980) 302-7992
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
1280 Hospital Dr Unit 302
Mt Pleasant, SC 29464-1901
Mailing address
PO Box 604408
Charlotte, NC 28260-4408
Other names 1
- East Cooper General Surgery
National Provider Directory
National Provider Directory- Tax ID family
- East Cooper Physician Group LLC
Other organizations with this tax ID 48
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Charleston, SC
- NPI 1033006747
-
- Surgery Physician
- Mt Pleasant, SC
- NPI 1043081755
-
- Surgery Physician
- Mount Pleasant, SC
- NPI 1063246601
-
- Durable Medical Equipment & Medical Supplies
- Mt Pleasant, SC
- NPI 1093586885
-
- Family Medicine Physician
- Mt Pleasant, SC
- NPI 1114798840
-
- Diagnostic Radiology Physician
- Mt Pleasant, SC
- NPI 1114893096
-
- Orthopaedic Surgery Physician
- Goose Creek, SC
- NPI 1174335491
-
- Orthopaedic Surgery Physician
- Daniel Island, SC
- NPI 1194586685
-
- Orthopaedic Surgery Physician
- Mt Pleasant, SC
- NPI 1205607926
-
- Orthopaedic Surgery Physician
- Daniel Island, SC
- NPI 1235990722
-
- Internal Medicine Physician
- Daniel Island, SC
- NPI 1255192308
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Goose Creek, SC
- NPI 1255294989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772236800000",
"number": "1962263442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 604408",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282604408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 HOSPITAL DR UNIT 302",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294641901",
"telephone_number": "999-999-9999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST COOPER PHYSICIAN GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-22",
"last_updated": "2026-02-28",
"certification_date": "2026-02-28",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "DOREATHA",
"authorized_official_title_or_position": "RCS MANAGER",
"authorized_official_telephone_number": "980-302-7992"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "East Cooper General Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mt Pleasant, SC
- East Cooper Physician Group LLC
- East Cooper Physician Group LLC
- East Cooper Physician Group LLC
- East Cooper Physician Group LLC
- East Cooper Physician Group LLC
- East Cooper Physician Group LLC
- East Cooper Physician Network, LLC
- East Cooper Physician Network, LLC
- East Cooper Plastic Surgery LLC
- East Cooper Podiatry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.