SEA ISLAND MEDICAL CARE (NPI# 1528561453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528561453 |
| Entity Type | Organization |
| Organization Name | SEA ISLAND MEDICAL CARE |
| Practice Address |
2114 Highway 41 Suite 105 Mount Pleasant SC 29466 |
| Mailing Address |
6763 Limehouse Rd Awendaw SC 29429-6020 |
| Practice Telephone | 8433889000 |
| Practice Fax Number | 8433886937 |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2019-05-13 |
| Authorized Official Name | ELIZABETH C RHODES (OWNER) |
| Authorized Official Telephone | 8432521150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1326141938 | 01 | |
| NPI | 1932437662 | 01 | |
| NPI | 1164427811 | 01 | |
| NPI | 1982116331 | 01 |
| Street Address |
2114 HIGHWAY 41 SUITE 105 |
| City | MOUNT PLEASANT |
| State | SC |
| Zip Code | 29466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689276 | Sweetgrass Pharmacy Carolina Park, LLC | Pharmacy | 3485 Park Avenue Blvd, Mount Pleasant, SC 29466 | 2020-11-02 |
| 1942836754 | Southern Grace Pain & Regenerative Medicine | Clinic/Center | 3520 Park Avenue Blvd., Suite 105, Mount Pleasant, SC 29466 | 2020-03-13 |
| 1174175038 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 225 Faison Rd, Mount Pleasant, SC 29466 | 2019-07-11 |
| 1780246553 | Stacy Nicole Sherbutt | Dental Hygienist | Naval Weapons Statiom, 316 Red Bank Rd, Goose Creek, SC 29466 | 2019-07-02 |
| 1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
| 1609364835 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3525 Park Ave Blvd., Mount Pleasant, SC 29466 | 2018-04-24 |
| 1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
| 1801324181 | Collin T Weyer | Physical Therapist | 3301 Stockdale Street, Suite B, Mt. Pleasant, SC 29466 | 2017-05-31 |
| 1023467479 | Mariesa Eikevik | Physical Therapist | 3559 Franklin Tower Dr, Mount Pleasant, SC 29466 | 2016-06-07 |
| 1023401239 | Avani Patel | Specialist/Technologist, Other | 1300 Park West Blvd., Madison At Park West Apt 107, Mount Pleasant, SC 29466 | 2015-03-12 |
| Find all providers in zip 29466 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982070595 | Titus County Hospital District | Clinic/Center | 1901 Mulberry Ave, Mount Pleasant, TX 75455-2369 | 2015-08-18 |
| 1497165724 | Titus County Hospital District | Clinic/Center | 2001 N Jefferson Ave Ste 204a, Mount Pleasant, TX 75455-2300 | 2014-05-08 |
| 1588917694 | Titus County Hospital District | Clinic/Center | 1610 S Jefferson Ave, Mount Pleasant, TX 75455 | 2012-10-26 |
| 1649773789 | Tidewater Health PC | Clinic/Center | 1435 Stuart Engals Blvd Ste 101, Mount Pleasant, SC 29464-7312 | 2018-03-15 |
| 1679910426 | Health First | Clinic/Center | 2863 N Highway 17, Mount Pleasant, SC 29466-8962 | 2013-06-03 |
| 1679712400 | Thomas E Goodrich Md Sc | Clinic/Center | 6015 Durand Ave, Suite 500, Mount Pleasant, WI 53406-5089 | 2009-02-18 |
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| 1700484821 | Grace Physicians Services | Clinic/Center | 1483 Old Cherokee Road, Lexington, SC 29072 | 2020-10-12 |
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| 1841847423 | Healthworks Med Group of South Carolina P C | Clinic/Center | 9051 Palmetto Commerce Pkwy, Ladson, SC 29456-6705 | 2019-08-20 |
| 1447758032 | Crs Eyecare Services, Inc. | Clinic/Center | 112 Rutledge Ave Ste A, Charleston, SC 29401-1333 | 2018-01-29 |
| 1316477060 | Lake City Medical Associates 2017, LLC | Clinic/Center | 130 S Acline St, Lake City, SC 29560-2633 | 2017-06-15 |
| 1417483355 | New Beginnings Health Services | Clinic/Center | 176 Dermis Ave, Hardeeville, SC 29927-4161 | 2017-05-11 |
| 1669919007 | Hypertension and Diabetes Prevention and Treatment Center Inc | Clinic/Center | 1812 Malden Drive, Hdpt Center Inc, Florence, SC 29505-3128 | 2017-01-24 |
| 1093262511 | Quad/med, LLC | Clinic/Center | 224a Harbor Freight Rd, Dillon, SC 29536-8501 | 2016-09-01 |
| 1649623653 | Woods Bay Family Care LLC | Clinic/Center | 128 E Baker St, Olanta, SC 29114-9101 | 2016-07-14 |
| 1407202112 | Regional Health and Testing Center | Clinic/Center | 376 W Palmetto St, Florence, SC 29501-4418 | 2016-05-11 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT PLEASANT |
| Zip Code | 29466 |
Please comment or provide details below to improve the information on SEA ISLAND MEDICAL CARE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.