Active NPI
New Hope Integrative Medicine, Inc
- Family Medicine Physician
- Goose Creek, SC
National Provider Identifier
1972021483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NEW HOPE INTEGRATIVE MEDICINE, INC
- Practice address
- 775 Saint James Ave Ste B
Goose Creek, SC 29445-2836 - Phone
- (843) 801-8011
- NPI assigned
- Sep 5, 2017
- 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
- Dr. Denise J Teasley, MD
- Title
- Owner
- Phone
- (843) 801-8011
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | |||
| Gynecology Physician | 207VG0400X |
Addresses
Primary practice location
775 Saint James Ave Ste B
Goose Creek, SC 29445-2836
Mailing address
775 Saint James Ave Ste B
Goose Creek, SC 29445-2836
Other practice location 1
805 Montague Ave Ste A
Greenwood, SC 29649-1464
Phone (864) 223-6621
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD31456 | Other | SC | STATE LICENSE |
| GP3760 | Medicaid | SC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D1044317 | New Hope Integrative Medicine | Certificate of waiver | Aug 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
805 Montague Ave
Ste A
Greenwood, SC 29649
Phone (864) 223-6621
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acute Care Nurse Practitioner
- Greenville, SC
- NPI 1780223685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702252800000",
"number": "1972021483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 SAINT JAMES AVE STE B",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294452836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 SAINT JAMES AVE STE B",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294452836",
"telephone_number": "843-801-8011"
}
],
"practiceLocations": [
{
"address_1": "805 Montague Ave Ste A",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "SC",
"postal_code": "296491464",
"country_code": "US",
"telephone_number": "864-223-6621",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NEW HOPE INTEGRATIVE MEDICINE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-05",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A",
"authorized_official_last_name": "TEASLEY",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-801-8011",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MD31456",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP3760",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goose Creek, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.