PPCP SPECIALTY PHYSICIANS, LLC (NPI# 1720693039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720693039 |
| Entity Type | Organization |
| Organization Name | PPCP SPECIALTY PHYSICIANS, LLC |
| Practice Address |
5500 Front St Ste 230 Summerville SC 29486-7735 |
| Mailing Address |
201 Sigma Dr Ste 100 Summerville SC 29486-7722 |
| Practice Telephone | 8435691856 |
| Practice Fax Number | 8435691879 |
| Mailing Telephone | 8436956071 |
| Mailing Fax Number | 8435695879 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | BRENDA REEVE (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 8438203403 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007163 | Ppcp Specialty Physicians, LLC | Internal Medicine | 5500 Front St Ste 260, Summerville, SC 29486-7735 | 2020-09-14 |
| 1164961249 | Ppcp Specialty Physicians, LLC | Psychiatry & Neurology | 110b Springhall Dr, Goose Creek, SC 29445-5335 | 2017-02-22 |
| 1154886471 | Ppcp Specialty Physicians, LLC | Internal Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414-5678 | 2019-02-01 |
| 1063914992 | Ppcp Specialty Physicians, LLC | Psychiatry & Neurology | 899 Island Park Dr Ste 200, Daniel Island, SC 29492-8114 | 2018-03-07 |
| 1861931982 | Ppcp Specialty Physicians, LLC | Internal Medicine | 730 Stony Landing Rd, Ste 200, Moncks Corner, SC 29461-2904 | 2017-02-22 |
| 1841739968 | Ppcp Specialty Physicians, LLC | Internal Medicine | 1101 Old Trolley Rd, Ste 300, Summerville, SC 29485-5293 | 2017-02-22 |
| 1780123984 | Ppcp Specialty Physicians, LLC | Internal Medicine | 7 S Alliance Dr, Ste 202-a, Goose Creek, SC 29445-7269 | 2017-02-21 |
| 1871032086 | Ppcp Specialty Physicians, LLC | Psychiatry & Neurology | 9313 Medical Plaza Dr, Ste 310, Charleston, SC 29406-9155 | 2017-02-21 |
| Street Address |
5500 FRONT ST STE 230 |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29486-7735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921454 | Cooper River Pediatric Therapy LLC | Speech-Language Pathologist | 119 Callibluff Dr, Summerville, SC 29486 | 2020-04-24 |
| 1750928164 | Tidewater Eyecare, LLC | Optometrist | 301 Front St., Summerville, SC 29486 | 2019-12-04 |
| 1366086621 | Tgd-summerville LLC | Dentist | 604-a Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1336783604 | Tdsp-summerville LLC | Dentist | 604-b Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1699256081 | Denise Michelle Richardson | Speech-Language Pathologist | 201 School House Ln, Summerville, SC 29486 | 2018-08-24 |
| 1497243588 | Charleston Ent Associates, LLC | Non-Pharmacy Dispensing Site | 2205 2nd Avenue, Summerville, SC 29486 | 2018-04-25 |
| 1043707557 | Seaside Family Medicine, LLC | Nurse Practitioner | 1341 College Park Rd # A, Summerville, SC 29486 | 2018-04-19 |
| 1023511144 | Grace Physical Therapy and Sports Rehab At Nexton | Clinic/Center | 5500 Front St, Suite 201, Summerville, SC 29486 | 2018-03-15 |
| 1295253086 | Dillon Robert Gregory | Specialist/Technologist | 313 Springdale Ct., Summerville, SC 29486 | 2017-09-01 |
| 1013456987 | Sfd Kids LLC | Dentist | 108 Parish Farms Drive, Summerville, SC 29486 | 2017-02-13 |
| Find all providers in zip 29486 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323875 | Carolina Neurology & Neuroimaging LLC | Psychiatry & Neurology | 111 Shire Dr, Anderson, SC 29621-3675 | 2020-07-17 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| 1336764240 | Jal Ankeeth Ved | Psychiatry & Neurology | Prisma Health Medical Group Neurology, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2020-06-16 |
| 1427608819 | Ppcp Specialty Physicians, LLC | Psychiatry & Neurology | 9221 University Blvd Ste 2d, North Charleston, SC 29406-9148 | 2019-09-17 |
| 1801454830 | Mark Joshua Rosenberg | Psychiatry & Neurology | 96 Jonathan Lucas St Csb 301, Msc 606, Charleston, SC 29425-0001 | 2019-06-04 |
| 1851955413 | David Alan Lockwood Jr. | Psychiatry & Neurology | Neurology Patient Care, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2019-04-29 |
| 1164995700 | Amy Elizabeth Gallozzi | Psychiatry & Neurology | 531 Tributary Dr, Fort Lawn, SC 29714-8625 | 2019-01-07 |
| 1952896789 | Lauren Crawford | Psychiatry & Neurology | 96 Jonathan Street Suite 301, Charleston, SC 29425-0001 | 2018-06-25 |
| 1831610989 | Christopher Bruck Zust | Psychiatry & Neurology | 8 Medical Park Ste 420, Neurology Clinic, Columbia, SC 29203 | 2017-06-29 |
| 1629598990 | Nicole Alyssa Hogan | Psychiatry & Neurology | Neurology Department, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2017-06-27 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERVILLE |
| Zip Code | 29486 |
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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.