Active NPI
East Cooper Coastal Family Physicians, LLC
- Family Medicine Physician
- Mt Pleasant, SC
National Provider Identifier
1992932271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- EAST COOPER COASTAL FAMILY PHYSICIANS, LLC
- Practice address
- 3400 Salterbeck St
Suite 100a
Mt Pleasant, SC 29466-7118 - Phone
- (843) 849-1300
- Fax
- (843) 849-1310
- NPI assigned
- Jun 15, 2009
- 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
- Mr. Wesley O. James
- Title
- Regional Cfo, Tenet
- Phone
- (404) 265-5009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3400 Salterbeck St
Suite 100a
Mt Pleasant, SC 29466-7118
Mailing address
PO Box 402096
Atlanta, GA 30384-2096
Phone (843) 849-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP5209 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Mount Pleasant, SC
- NPI 1679547400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473811200000",
"number": "1992932271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 402096",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303842096",
"telephone_number": "843-849-1300",
"fax_number": "843-849-1310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 SALTERBECK ST",
"address_2": "SUITE 100A",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294667118",
"telephone_number": "843-849-1300",
"fax_number": "843-849-1310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST COOPER COASTAL FAMILY PHYSICIANS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-15",
"last_updated": "2016-09-14",
"status": "A",
"authorized_official_last_name": "JAMES",
"authorized_official_first_name": "WESLEY",
"authorized_official_middle_name": "O.",
"authorized_official_title_or_position": "REGIONAL CFO, TENET",
"authorized_official_telephone_number": "404-265-5009",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP5209",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, SC
- E&L Colonial LLC
- Phillip Eaddy, RPH
- Lynn Dorris Earle, PTA
- East Coast Dermatology
- East Cooper Coastal Family Physicians
- East Cooper Coastal Internal Medicine Associates, LLC
- East Cooper Community Hospital, Inc.
- East Cooper Community Hospital, Inc.
- East Cooper Dental Excellence
- East Cooper Emergency Physicians, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.