HARDEEVILLE MEDICAL GROUP, LLC


Address: 1010 Medical Center Dr, Suite 210, Hardeeville, SC 29927-3447
Phone: 8436458220

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Medical Associates of the Lowcountry Gastroenterology Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1010 MEDICAL CENTER DR
SUITE 210
City HARDEEVILLE
State SC
Zip Code 29927-3447

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City HARDEEVILLE
Zip Code 29927

Improve Information

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Dataset Information

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.

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