LOWCOUNTRY MEDICAL ASSOCIATES (NPI# 1982653846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982653846 |
| Entity Type | Organization |
| Organization Name | LOWCOUNTRY MEDICAL ASSOCIATES |
| Other Organization Name | LMA ANCILLIARY BILLING DEPT |
| Practice Address |
4450 Leeds Pl W N Charleston SC 29405-8402 |
| Mailing Address |
180 Wingo Way Suite 105 Mt Pleasant SC 29464-1810 |
| Practice Telephone | 8439378101 |
| Mailing Telephone | 8439378101 |
| Mailing Fax Number | 8439378107 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2008-10-07 |
| Authorized Official Name | LINDA SHOEMAKER (COO) |
| Authorized Official Telephone | 8439378101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | SC | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE PTAN | 6795 | 01 |
| SC | L00100 | 05 |
| Other Name | Type Code |
|---|---|
| LMA Ancilliary Billing Dept | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285824169 | Lowcountry Medical Associates | Family Medicine | 3546 Maybank Hwy, Johns Island, SC 29455-4847 | 2007-07-27 |
| 1851342901 | Lowcountry Medical Associates | Internal Medicine | 3955 Faber Place Dr, Suite 202, North Charleston, SC 29405-8578 | 2006-05-13 |
| 1316997000 | Lowcountry Medical Associates | Pediatrics | 333 Folly Rd, Suite F, Charleston, SC 29412-2500 | 2006-05-11 |
| 1235189259 | Lowcountry Medical Associates | Family Medicine | 415 Robertson Blvd, Suite D, Walterboro, SC 29488-5713 | 2006-05-11 |
| 1467402792 | Lowcountry Medical Associates | Family Medicine | 21 Gamecock Ave, Suite D, Charleston, SC 29407-3368 | 2006-05-10 |
| 1477503787 | Lowcountry Medical Associates | Internal Medicine | 12 Farmfield Ave, Suite E, Charleston, SC 29407-7755 | 2006-05-10 |
| 1336199629 | Lowcountry Medical Associates | Family Medicine | 110 Springhall Dr, Goose Creek, SC 29445-5335 | 2006-05-10 |
| 1215987474 | Lowcountry Medical Associates | Family Medicine | 120 Springhall Dr, Suite B, Goose Creek, SC 29445-5335 | 2006-05-10 |
| 1740230028 | Lowcountry Medical Associates | Family Medicine | 1477 Tobias Gadson Blvd, Charleston, SC 29407-4794 | 2006-05-10 |
| 1346411923 | Lowcountry Medical Associates | Family Medicine | 110 Springhall Dr, Goose Creek, SC 29445-5335 | 2008-03-21 |
| Street Address |
4450 LEEDS PL W |
| City | N CHARLESTON |
| State | SC |
| Zip Code | 29405-8402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1013422674 | Caroline Rae | Speech-Language Pathologist | 3100 Carner Avenue, Charleston, SC 29405 | 2017-12-05 |
| 1245685171 | Ethel Jane Amerson | Registered Nurse | 3180 Thomasena Mcpherson Blvd, Nursing Module, Charleston County School Districe, North Charleston, SC 29405 | 2016-04-28 |
| 1750755468 | Diane Levesque | Registered Nurse | 4050 Bridgeview Drive, Suite 600, North Charleston, SC 29405 | 2015-11-18 |
| 1063813111 | Trident Medical Center, LLC | Clinic/Center | 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 | 2014-09-09 |
| 1114344504 | Bonita Davies | Registered Nurse | 3180 Thomasina Mcpherson Boulevard, North Charleston, SC 29405 | 2014-03-24 |
| 1427493261 | Melissa Hancock D'arcy | Registered Nurse | 3750 Dorchester Road, N. Charleston, SC 29405 | 2013-05-07 |
| 1427308824 | Terri Timmerman | Pharmacist | 1506 Montague Ave, North Charleston, SC 29405 | 2012-09-12 |
| 1649414285 | Roper Saint Francis Physicians Network | Clinical Medical Laboratory | 4450 Leeds Place West, Suite A, North Charleston, SC 29405 | 2009-04-27 |
| 1891940649 | Earnestine Roberts | Registered Nurse | 3605 Meeting Street Rd., Ste.b1, North Charleston, SC 29405 | 2008-11-20 |
| Find all providers in zip 29405 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568078509 | Jeff David Alexander | Clinical Medical Laboratory | 2724 Wade Hampton Blvd Ste C, Greenville, SC 29615-1110 | 2020-09-16 |
| 1558976100 | Enmed Microanalytics, Inc | Clinical Medical Laboratory | 645 Meeting St Ste 2, Charleston, SC 29403-4277 | 2020-09-10 |
| 1871107128 | Afg Services LLC | Clinical Medical Laboratory | 131 Falls St Ste 302, Greenville, SC 29601-2876 | 2020-09-03 |
| 1982214763 | Kempo Corporation | Clinical Medical Laboratory | 6096 Highway 151, Jefferson, SC 29718-5813 | 2020-08-05 |
| 1255952693 | Nacole Domanika Edwards | Clinical Medical Laboratory | 108 Roe St, Greer, SC 29651-1235 | 2020-04-27 |
| 1912564790 | Palmetto Sleep Lab LLC | Clinical Medical Laboratory | 2724 W Palmetto St Ste 12, Florence, SC 29501-4909 | 2019-05-28 |
| 1386110153 | Assure Laboratory Inc | Clinical Medical Laboratory | 1200 Woodruff Rd Ste H32, Greenville, SC 29607-5790 | 2018-10-19 |
| 1174009245 | Vikor Scientific, LLC | Clinical Medical Laboratory | 22 Westedge St., Suite 800, Charleston, SC 29403-2940 | 2018-07-12 |
| 1548789522 | Tracy R Trapp | Clinical Medical Laboratory | 9005 Two Notch Rd Ste 22, Columbia, SC 29223-5850 | 2017-09-12 |
| 1982142345 | Avanti Laboratories LLC | Clinical Medical Laboratory | 1650 Highway 9 E, Unit 1, Longs, SC 29568-5754 | 2017-02-06 |
| Find all providers with the same taxonomy | ||||
| City | N CHARLESTON |
| Zip Code | 29405 |
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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.