HARDEEVILLE MEDICAL GROUP, LLC (NPI# 1417315771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417315771 |
Entity Type | Organization |
Organization Name | HARDEEVILLE MEDICAL GROUP, LLC |
Other Organization Name | MEDICAL ASSOCIATES OF THE LOWCOUNTRY GASTROENTEROLOGY |
Practice Address |
1010 Medical Center Dr Suite 210 Hardeeville SC 29927-3447 |
Mailing Address |
Po Box 741905 Atlanta GA 30374-1905 |
Practice Telephone | 8436458220 |
Practice Fax Number | 8436458221 |
Mailing Telephone | 8436458220 |
Mailing Fax Number | 8436458221 |
Enumeration Date | 2016-02-02 |
Last Update Date | 2017-03-15 |
Authorized Official Name | MR. WESLEY O. JAMES (REGIONAL CFO, TENET) |
Authorized Official Telephone | 4042655009 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Medical Associates of the Lowcountry Gastroenterology | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609245737 | Hardeeville Medical Group, LLC | Podiatrist | 3 Celadon Dr, Suite A, Beaufort, SC 29907-2695 | 2015-09-18 |
1871870170 | Hardeeville Medical Group, LLC | Surgery | 1010 Medical Center Dr, Suite 240, Hardeeville, SC 29927-3447 | 2011-11-15 |
Street Address |
1010 MEDICAL CENTER DR SUITE 210 |
City | HARDEEVILLE |
State | SC |
Zip Code | 29927-3447 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316219686 | Costrini & Meadows, PC | Internal Medicine | 1010 Medical Center Dr, Suite 100, Hardeeville, SC 29927-3447 | 2012-02-02 |
1871870170 | Hardeeville Medical Group, LLC | Surgery | 1010 Medical Center Dr, Suite 240, Hardeeville, SC 29927-3447 | 2011-11-15 |
1528365111 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 1010 Medical Center Dr, Suite 100, Hardeeville, SC 29927-3447 | 2011-02-17 |
1144526500 | Coastal Carolina Medical Center, Inc. | Clinic/Center | 1010 Medical Center Dr, Suite 240, Hardeeville, SC 29927-3447 | 2011-02-02 |
1114167707 | Kidney Specialists of Southeast Georgia, Inc | Internal Medicine | 1010 Medical Center Dr, Suite 210, Hardeeville, SC 29927-3447 | 2009-02-23 |
1174786339 | Beaufort Memorial Hospital | Family Medicine | 1010 Medical Center Dr, Suite 240, Hardeeville, SC 29927-3447 | 2008-07-08 |
1336336908 | Nancy C Harris | Nurse Practitioner | 1010 Medical Center Dr, Suite D, Hardeeville, SC 29927-3447 | 2007-09-27 |
1174648802 | Coastal Carolina Physician Practices LLC | Otolaryngology | 1010 Medical Center Dr, Suite 210, Hardeeville, SC 29927-3447 | 2007-03-20 |
1124161682 | Coastal Carolina Urology Group LLC | Urology | 1010 Medical Center Dr, Suite 100, Hardeeville, SC 29927-3447 | 2007-02-15 |
1558426361 | Howard S Freilich | Internal Medicine | 1010 Medical Center Dr, Suite 210, Hardeeville, SC 29927-3447 | 2006-12-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508305087 | Watauga Recovery Center,pc | Family Medicine | 21563 Whyte Hardee Blvd, Hardeeville, SC 29927 | 2017-02-17 |
1730546755 | Sara Silva | Counselor | 290 New River Parkway, Hardeville, SC 29927 | 2016-01-21 |
1952727992 | Genesis Foot & Leg Specialists, LLC | Podiatrist | 21563 Wyhte Hardee Blvd, Hardeeville, SC 29927 | 2014-03-14 |
1407283757 | Jann Denoncour | Occupational Therapist | 150 Hurricane Alley, Hardeeville, SC 29927 | 2013-10-02 |
1255609871 | Freds Stores of Tennessee Inc. | Pharmacy | 21361 Whyte Hardee Blvd., Hardeeville, SC 29927 | 2011-12-09 |
1538316575 | Coastal Carolina Medical Center Inc | Emergency Medicine | 1000 Medical Drive, Hardeeville, SC 29927 | 2008-08-21 |
1548350937 | Robert Leroy Irby | Pharmacist | 522 Stiney Rd, Hardeeville, SC 29927 | 2006-10-13 |
1467466300 | B-j-h Comp. Health Services | Pharmacy | 552 Stiney Rd, Hardeeville, SC 29927 | 2006-07-28 |
1720006554 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4400 Highway 278, Hardeeville, SC 29927 | 2006-07-18 |
1891737961 | Peter Frank | Family Medicine | 21563 A Whyte Hardee Blvd, Hardeeville, SC 29927 | 2006-06-12 |
Find all providers in zip 29927 |
Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326304478 | Madeline Rhea Russell | Internal Medicine | 1010 Medical Center Dr Ste 100, Hardeeville, SC 29927-3452 | 2012-04-03 |
1861975799 | Center for Digestive and Liver Health LLC | Internal Medicine | 1010 Medical Center Dr Ste 100, Hardeeville, SC 29927-3452 | 2018-09-06 |
1558426361 | Howard S Freilich | Internal Medicine | 1010 Medical Center Dr, Suite 210, Hardeeville, SC 29927-3447 | 2006-12-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861007163 | Ppcp Specialty Physicians, LLC | Internal Medicine | 5500 Front St Ste 260, Summerville, SC 29486-7735 | 2020-09-14 |
1497398721 | Brooke Alexa Brooks | Internal Medicine | 25 Courtenay Dr # 7018, Charleston, SC 29425-8911 | 2019-10-18 |
1437566510 | Tides Gastroenterology, LLC | Internal Medicine | 159 E Shipyard Rd, Mt Pleasant, SC 29464-2677 | 2014-07-21 |
1912326893 | Gastroenterology Consultants of Savannah, PC | Internal Medicine | 10 Oak Forest Rd Ste B, Bluffton, SC 29910-4974 | 2014-04-08 |
1457616401 | Christopher Robert Brown | Internal Medicine | 4040 Highway 17 Unit 302, Murrells Inlet, SC 29576 | 2012-07-05 |
1083909402 | Andrew Jonathan Motlis | Internal Medicine | 853 N Church St Ste 620, Spartanburg, SC 29303-3070 | 2011-06-14 |
1518250414 | Georgia Gastroenterology,llc. | Internal Medicine | 35 Varden Dr, Suite C, Aiken, SC 29803 | 2011-05-25 |
1811296239 | South Coast Gastroenterology | Internal Medicine | 2891 Tricom St Ste B, N Charleston, SC 29406-7110 | 2011-03-24 |
1235430745 | Beaufort County Memorial Hospital | Internal Medicine | 1716 Ribaut Rd, Port Royal, SC 29935-1927 | 2010-11-15 |
1710121843 | Gastroenterology Associates Pa | Internal Medicine | 552 Memorial Drive Ext Ste D, Greer, SC 29651-1135 | 2009-04-20 |
Find all providers with the same taxonomy |
City | HARDEEVILLE |
Zip Code | 29927 |
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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.