NICHOLE M. WATSON (NPI# 1881034361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881034361 |
| Entity Type | Individual |
| Full Name | NICHOLE M. WATSON |
| Credential | M.D. |
| Practice Address |
3510 N Highway 17 Ste. 320 Mt Pleasant SC 29466-8227 |
| Mailing Address |
Po Box 751649 Charlotte NC 28275-1649 |
| Practice Telephone | 8439713361 |
| Practice Fax Number | 8436068003 |
| Mailing Telephone | 8437891620 |
| Mailing Fax Number | 8437242440 |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 38882 | SC | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MT204523 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
3510 N HIGHWAY 17 STE. 320 |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29466-8227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497702047 | Kristen P Nawabi | Internal Medicine | 3510 N Highway 17, Suite 110, Mt Pleasant, SC 29466-8227 | 2006-05-28 |
| 1477087195 | Roper Saint Francis Physicians Network | Durable Medical Equipment & Medical Supplies | 3510 N Highway 17, Suite 325, Mt Pleasant, SC 29466-8227 | 2017-04-19 |
| 1508305301 | Roper Saint Francis Physicians Network | Surgery | 3510 N Highway 17, Suite 325, Mt Pleasant, SC 29466 | 2017-02-14 |
| 1982156774 | Amanda Moon | Specialist/Technologist | 3510 N Highway 17, Suite 220, Mt Pleasant, SC 29466-8227 | 2016-10-27 |
| 1497206478 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 3510 N Highway 17, Suite 220, Mt Pleasant, SC 29466-8227 | 2016-10-14 |
| 1639562804 | Roper Saint Francis Physicians Network | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3510 N Highway 17, Suite 220, Mt Pleasant, SC 29466-8227 | 2015-03-12 |
| 1184021495 | Samantha Anne Zito | Dietitian, Registered | 3510 N Highway 17, Suite 110, Mt Pleasant, SC 29466-8227 | 2014-12-02 |
| 1083027866 | Roper Saint Francis Physicians Network | Internal Medicine | 3510 N Highway 17, Suite 110, Mt Pleasant, SC 29466-8227 | 2014-06-09 |
| 1801225362 | Sara Lane Kimsey | Physician Assistant | 3510 N Highway 17, Suite 325, Mt Pleasant, SC 29466-8227 | 2013-11-05 |
| 1205276094 | Roper Saint Francis Physicians Network | Pain Medicine | 3510 N Highway 17, Suite 220, Mt Pleasant, SC 29466-8227 | 2013-06-26 |
| Find all providers in the same location | ||||
| 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 |
| 1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
| 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 |
| Find all providers in zip 29466 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801149 | Palmetto Primary Care Physicians, LLC | Family Medicine | 1200 Two Island Ct Unit E, Mt Pleasant, SC 29466-7418 | 2020-08-11 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1093163339 | Julia Killingsworth Isom | Family Medicine | 180 Wingo Way Ste 207, Mt Pleasant, SC 29464-1811 | 2016-05-26 |
| 1477907350 | Christina Danielle Downer | Family Medicine | 2853 Health Pkwy Ste B, Mt Pleasant, MI 48858-9375 | 2016-04-18 |
| 1154793362 | Paladina Health, LLC | Family Medicine | 917 Houston Northcutt Blvd, Mt Pleasant, SC 29464-3448 | 2015-10-27 |
| 1790166163 | Sylvia Lee Clarkson | Family Medicine | 1440 Ben Sawyer Blvd Ste 1109, Mt Pleasant, SC 29464-5526 | 2015-06-11 |
| 1891106225 | Andrew Schleihauf | Family Medicine | 508 S Church St Ste 200, Mt Pleasant, PA 15666-1702 | 2014-05-20 |
| 1356695290 | Mount Pleasant Physicians,pllc | Family Medicine | 202 W 19th St, Mt Pleasant, TX 75455-2320 | 2012-10-30 |
| 1396048765 | Annu Mohan Md Pllc | Family Medicine | 2480 Rosewood Dr, Mt Pleasant, MI 48858-5003 | 2010-12-07 |
| 1356579890 | Ghassan N Hamadeh | Family Medicine | 1223 Vestige Sq, Mt Pleasant, SC 29464-9031 | 2009-06-23 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 29466 |
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| 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.