SOUTHERN ORTHOPEDICS AND SPORTS MEDICINE, LLC
NPI 1053568428
Orthopaedic Surgery in Mt Pleasant, SC

Active since August 27, 2008
851 LEONARD FULGHUM BLVD, SUITE 101, MT PLEASANT, SC 29464(843) 971-9350(843) 971-9351 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Orthopedics And Sports Medicine, Llc NPPES

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

SOUTHERN ORTHOPEDICS AND SPORTS MEDICINE, LLC (NPI 1053568428) is a healthcare organization registered as an orthopaedic surgery in Mt Pleasant, South Carolina and active in the NPI registry since August 2008. The organization lists Michael Kyle Burtnett, Svp Of Outpatient Services, Tenet, as its authorized official.

NPPES Registry Identity

NPI1053568428
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameSOUTHERN ORTHOPEDICS AND SPORTS MEDICINE, LLC
Location Address851 LEONARD FULGHUM BLVD, SUITE 101Mt Pleasant, SC 29464-3787
Mailing Address851 Leonard Fulghum Blvd, Suite 101Mt Pleasant, SC 29464-3787 · (843) 971-9350 · Fax (843) 971-9351
Fax(843) 971-9351
Organization SubpartNo
Authorized OfficialMichael Kyle BurtnettSvp Of Outpatient Services, Tenet · (469) 893-2153
Enumeration DateAugust 27, 2008
Last NPPES UpdateJune 23, 2016
NPI 1053568428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedEmergency Medicine · Sports MedicineTaxonomy 207PS0010X
851 LEONARD FULGHUM BLVD, Mt Pleasant, SC 29464

Other Identifiers 3

MedicaidGP5001SC
Medicare PIND05148SC
Medicare PIN9148SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 13

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

Obstetrics & Gynecology
851 LEONARD FULGHUM BLVD, SUITE 201
MT PLEASANT, SC 29464
Orthopaedic Surgery (Orthopaedic Trauma)
851 LEONARD FULGHUM BLVD, SUITE 101
MOUNT PLEASANT, SC 29464
Obstetrics & Gynecology
851 LEONARD FULGHUM BLVD, SUITE 201
MT PLEASANT, SC 29464
Orthopaedic Surgery (Sports Medicine)
851 LEONARD FULGHUM BLVD, SUITE 101
MT PLEASANT, SC 29464
Obstetrics & Gynecology
851 LEONARD FULGHUM BLVD, SUITE 201
MT PLEASANT, SC 29464
Obstetrics & Gynecology
851 LEONARD FULGHUM BLVD, SUITE 200
MT PLEASANT, SC 29464
Obstetrics & Gynecology
851 LEONARD FULGHUM BLVD, SUITE 201
MT PLEASANT, SC 29464
Obstetrics & Gynecology
851 LEONARD FULGHUM BLVD, SUITE 201
MT PLEASANT, SC 29464

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 Southern Orthopedics And Sports Medicine, LLC's NPI number?

The NPI number for Southern Orthopedics And Sports Medicine, LLC is 1053568428. It was assigned to this organization in the NPPES registry on August 27, 2008.

Where is Southern Orthopedics And Sports Medicine, LLC located?

Southern Orthopedics And Sports Medicine, LLC is located at 851 Leonard Fulghum Blvd Suite 101, Mt Pleasant, SC 29464. The listed phone number is (843) 971-9350.

What is Southern Orthopedics And Sports Medicine, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

What insurance does Southern Orthopedics And Sports Medicine, LLC accept?

Health plans from First Choice Next list Southern Orthopedics And Sports Medicine, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Orthopedics And Sports Medicine, LLC was last updated on June 23, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.