MONCKS CORNER PEDIATRICS LLC
NPI 1003070103
Clinic/Center - Rural Health in Moncks Corner, SC
About Moncks Corner Pediatrics Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MONCKS CORNER PEDIATRICS LLC (NPI 1003070103) is a healthcare organization registered as a rural health in Moncks Corner, South Carolina and active in the NPI registry since July 2008. The organization lists Joseph R West, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Moncks Corner Pediatrics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Moncks Corner Pediatrics LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Moncks Corner Pediatrics LLC's NPI number?
The NPI number for Moncks Corner Pediatrics LLC is 1003070103. It was assigned to this organization in the NPPES registry on July 17, 2008.
Where is Moncks Corner Pediatrics LLC located?
Moncks Corner Pediatrics LLC is located at 5000 Epson Plantation Dr Suite B, Moncks Corner, SC 29461. The listed phone number is (843) 761-2000.
What is Moncks Corner Pediatrics LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Moncks Corner Pediatrics LLC enrolled in Medicare?
Yes. Moncks Corner Pediatrics LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Moncks Corner Pediatrics LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Moncks Corner Pediatrics LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Moncks Corner Pediatrics LLC was last updated on June 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Moncks Corner Pediatrics Llc · NPI 1003070103
Rural Health organization in Moncks Corner, South Carolina. Organization record, active in the CMS NPPES registry since July 17, 2008.
## Identity
- **NPI:** 1003070103 (Entity type: Organization)
- **Enumerated:** July 17, 2008
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Joseph West, OWNER
## Practice location
- **Address:** 5000 EPSON PLANTATION DR, SUITE B, Moncks Corner, SC 29461-3979
- **Phone:** (843) 761-2000 · **Fax:** (843) 761-2267
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Pediatric Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 9, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1003070103) · Data from the CMS NPPES public registry.