1. Home
  2. Directory
  3. South Carolina
  4. Charleston
  5. Pediatrics
  6. NPI Profile

PLANTATION PEDIATRICS
NPI 1033169156
Pediatrics in Charleston, SC

Active since May 11, 2006CLIA 42D2128043 · Waiver
1871 SAVAGE RD, CHARLESTON, SC 29407(843) 766-6308 Get Directions Write a Review

NPPES record last updated: September 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Plantation Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PLANTATION PEDIATRICS (NPI 1033169156) is a healthcare organization registered as a pediatrics in Charleston, South Carolina and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 22, 2027 and lists Linda C Shoemaker, Coo, as its authorized official.

NPPES Registry Identity

NPI1033169156
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLOWCOUNTRY MEDICAL ASSOCIATES
Location Address1871 SAVAGE RDCharleston, SC 29407-4726
Mailing Address1871 Savage RdCharleston, SC 29407-4726 · (843) 766-6308
Phone(843) 766-6308
Organization SubpartNo
Authorized OfficialLinda C ShoemakerCoo · (843) 937-8101
Enumeration DateMay 11, 2006
Last NPPES UpdateSeptember 25, 2008
✔ NPI 1033169156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1871 SAVAGE RD, Charleston, SC 29407
Open in Google Maps ↗

Other Names 1

Doing Business AsPlantation Pediatrics

Other Identifiers 2

MedicaidDE2219SC
MedicaidGP1199SC

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2128043

Plantation Pediatrics, LLC · Goose Creek, SC
Active · expires Mar 22, 2027
CLIA Number42D2128043
Laboratory TypePhysician Office
Certificate Effective DateMarch 23, 2025
Certificate Expiration DateMarch 22, 2027
Laboratory DirectorDr. John Stadalsky
Laboratory Phone(843) 766-6308
Laboratory LocationPlantation Pediatrics, LLC105 Springhall Drive, Goose Creek, SC 29445
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN A TRAYNHAM MD
Pediatrics
1871 SAVAGE RD
CHARLESTON, SC 29407
Charleston County (843) 766-6308
AMANDA LOUISE CLARK RN, BSN
Nurse Practitioner (Pediatrics)
1871 SAVAGE RD
CHARLESTON, SC 29407
Charleston County (843) 766-6308
MR. MICAH TODD VASKO PA
Pediatrics
1871 SAVAGE RD
CHARLESTON, SC 29407
Charleston County (843) 766-6308
MRS. COURTNEY JORDAN HILLMAN DNP, CPNP
Nurse Practitioner (Pediatrics)
1871 SAVAGE RD
CHARLESTON, SC 29407
Charleston County (843) 766-6308
PLANTATION PEDIATRICS, LLC
Pediatrics
1871 SAVAGE RD
CHARLESTON, SC 29407
Charleston County (843) 766-6308
TARYN ELIZABETH TYNER M.D.
Pediatrics
1871 SAVAGE RD
CHARLESTON, SC 29407
Charleston County (843) 766-6308
CHRISTINE LEE BUTLER CPNP
Nurse Practitioner (Pediatrics)
1871 SAVAGE RD
CHARLESTON, SC 29407
Charleston County (843) 766-6308
TIMOTHY BUTTRAM PA
Physician Assistant
1871 SAVAGE RD
CHARLESTON, SC 29407
Charleston County (843) 766-6308

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 Lowcountry Medical Associates's NPI number?

The NPI number for Lowcountry Medical Associates is 1033169156. It was assigned to this organization in the NPPES registry on May 11, 2006. The provider is doing business as Plantation Pediatrics.

Where is Lowcountry Medical Associates located?

Lowcountry Medical Associates is located at 1871 Savage Rd, Charleston, SC 29407. The listed phone number is (843) 766-6308.

What is Lowcountry Medical Associates's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Lowcountry Medical Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2128043) is associated with this NPI, valid through March 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lowcountry Medical Associates was last updated on September 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.