CAROLINA FAMILY CARE (NPI# 1669743357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669743357 |
| Entity Type | Organization |
| Organization Name | CAROLINA FAMILY CARE |
| Other Organization Name | MUSC PHYSICIANS PCP PORTS |
| Practice Address |
200 Ports Authority Dr Mount Pleasant SC 29464-7998 |
| Mailing Address |
Po Box 602108 Charlotte NC 28260-2108 |
| Practice Telephone | 8438767997 |
| Mailing Telephone | 8437926200 |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2019-02-01 |
| Authorized Official Name | KARYN RAE (MANAGER) |
| Authorized Official Telephone | 8438761344 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MUSC Physicians PCP Ports | Doing Business As Name - Organization |
| MUSC Physicians PCP Sewee | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851541221 | Carolina Family Care | Internal Medicine | 1113 Parkwest Blvd, Mt. Pleasant, SC 29466-7121 | 2008-09-23 |
| Street Address |
200 PORTS AUTHORITY DR |
| City | MOUNT PLEASANT |
| State | SC |
| Zip Code | 29464-7998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467973768 | Tamara Kyle Moore | Nurse Practitioner | 200 Ports Authority Dr, Mount Pleasant, SC 29464-7998 | 2017-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| 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 |
|---|---|---|---|---|
| 1811533789 | Smith Family Md, Inc | Family Medicine | 990 Lake Hunter Cir Ste 101a, Mount Pleasant, SC 29464-5426 | 2019-11-26 |
| 1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
| 1386168680 | Esposito Medical Associates Ltd | Family Medicine | 599 N Church St Ste 200, Mount Pleasant, PA 15666-1004 | 2017-07-28 |
| 1063803377 | Kristen Taylor | Family Medicine | 2480 Rosewood N, Mount Pleasant, MI 48858-5003 | 2015-02-09 |
| 1316349764 | Amg Crockett LLC | Family Medicine | 4955 Highway 43 N, Mount Pleasant, TN 38474-5010 | 2014-09-17 |
| 1538458401 | Jennifer Lo | Family Medicine | 8400 Washington Ave Ste 105, Mount Pleasant, WI 53406-3735 | 2011-03-31 |
| 1114184124 | Milad Ishak Shaker | Family Medicine | 308 Bessemer Rd, Suite 100, Mount Pleasant, PA 15666-9134 | 2008-05-19 |
| 1487820718 | Christy L. Cone | Family Medicine | 710 Johnnie Dodds Blvd Ste 315, Mount Pleasant, SC 29464-3045 | 2008-05-06 |
| 1952470965 | Justin James Woods | Family Medicine | 5401 Spring St, Mount Pleasant, WI 53406-2911 | 2006-11-06 |
| 1124107354 | Tadd T Thompson | Family Medicine | 4955 D Hwy 43 North, Mount Pleasant, TN 38474 | 2006-11-06 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 29464 |
Please comment or provide details below to improve the information on CAROLINA FAMILY 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.