Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EAST COOPER PHYSICIAN GROUP LLC
NPI 1114893096
Radiology - Diagnostic Radiology in Mt Pleasant, SC

Active since October 16, 2025
2000 HOSPITAL DR, MT PLEASANT, SC 29464(843) 416-6150(843) 380-8212 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 18, 2026, Jan 22, 2026, Dec 16, 2025 (3 updates tracked since 2025).

About East Cooper Physician Group Llc NPPES

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

EAST COOPER PHYSICIAN GROUP LLC (NPI 1114893096), doing business as Novant Health Interventional Imaging At East Cooper, is a healthcare organization registered as a diagnostic radiology in Mt Pleasant, South Carolina and active in the NPI registry since October 2025. The organization maintains 3 additional practice locations and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1114893096
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameEAST COOPER PHYSICIAN GROUP LLC
Location Address2000 HOSPITAL DRMt Pleasant, SC 29464-3764
Mailing AddressPo Box 604408Charlotte, NC 28260-4408
Fax(843) 380-8212
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateOctober 16, 2025
Last NPPES UpdateSeptember 18, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1114893096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2000 HOSPITAL DR, Mt Pleasant, SC 29464

Other Names 1

Doing Business AsNovant Health Interventional Imaging At East Cooper

Secondary Practice Locations 3

Location 1103 GARDINERS BAY DRPONTE VEDRA, FL 32081-4406 · Phone (843) 881-0100
Location 2651 OLD BLUFF DRPONTE VEDRA, FL 32081-0718 · Phone (843) 881-0100
Location 324609 DEER TRACE DRPONTE VEDRA BEACH, FL 32082-2114 · Phone (843) 881-0100

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Cooper Physician Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

157

Medicare enrollment records show 157 clinicians reassign Medicare billing to East Cooper Physician Group LLC, which bills Medicare for the services they deliver. Of these, 56 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 15

Diagnostic Radiology67
Obstetrics/Gynecology34
Nurse Practitioner15
Internal Medicine7
Family Practice6
Orthopedic Surgery6
Interventional Radiology5
General Surgery4
7 other specialties13

Nearest to this location (20)

See all 157
Obstetrics/Gynecology
NPI 1861499295
851 LEONARD FULGHUM DR SUITE 200
Mt Pleasant, SC 29464
(843) 856-3262
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1124080684
851 LEONARD FULGHUM BLVD SUITE 101
Mount Pleasant, SC 29464
(843) 971-9350
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1588858146
851 LEONARD FULGHUM DR SUITE 200
Mount Pleasant, SC 29464
(843) 856-3262
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1477516607
851 LEONARD FULGHUM BLVD SUITE 201
Mt Pleasant, SC 29464
(843) 884-5133
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1649718834
851 LEONARD FULGHUM DR STE. 201
Mount Pleasant, SC 29464
(843) 884-5133
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1649233412
851 LEONARD FULGHUM BLVD SUITE 201
Mt Pleasant, SC 29464
(843) 884-5133
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1952714271
881 LEONARD FULGHUM DR STE 103
Mount Pleasant, SC 29464
(843) 884-5133
✔ PECOS0.1 mi
Obstetrics/Gynecology
NPI 1174015382
881 LEONARD FULGHUM DR STE 202
Mount Pleasant, SC 29464
(843) 856-3262
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1558949081
881 LEONARD FULGHUM DR STE 103
Mount Pleasant, SC 29464
(843) 884-5133
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1336772557
881 LEONARD FULGHUM DR STE 202
Mount Pleasant, SC 29464
(843) 856-3262
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1083330179
881 LEONARD FULGHUM DR STE 202
Mount Pleasant, SC 29464
(843) 856-3262
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1184436594
881 LEONARD FULGHUM DR STE 103
Mount Pleasant, SC 29464
(843) 884-5133
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1255141024
881 LEONARD FULGHUM DR STE 103
Mount Pleasant, SC 29464
(843) 884-5133
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1629817911
881 LEONARD FULGHUM DR STE 202
Mt Pleasant, SC 29464
(843) 856-3262
✔ PECOS✔ Accepts Medicare0.1 mi
Gastroenterology
NPI 1043453046
1300 HOSPITAL DR STE 300
Mt Pleasant, SC 29464
(843) 884-5200
✔ PECOS✔ Accepts Medicare0.3 mi
Gastroenterology
NPI 1831171461
1300 HOSPITAL DR STE 300
Mount Pleasant, SC 29464
(843) 884-5200
✔ PECOS✔ Accepts Medicare0.3 mi
Gastroenterology
NPI 1134235278
LOW COUNTRY GASTMENTEROLOGY ASSOC PA 1300 HOSPITAL DRIVE, SUITE 300
Mount Pleasant, SC 29464
(843) 884-5200
✔ PECOS0.4 mi
Internal Medicine
NPI 1639639552
1300 HOSPITAL DR STE 300
Mount Pleasant, SC 29464
(843) 884-5200
✔ PECOS✔ Accepts Medicare0.5 mi
Registered Dietitian or Nutrition Professional
NPI 1124905757
1280 HOSPITAL DR UNIT 302
Mount Pleasant, SC 29464
(843) 352-4154
0.5 mi
Family Practice
NPI 1962502211
874 WHIPPLE RD SUITE 100
Mt Pleasant, SC 29464
(843) 884-2133
✔ PECOS✔ Accepts Medicare0.8 mi
See all 157 clinicians

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 East Cooper Physician Group LLC's NPI number?

The NPI number for East Cooper Physician Group LLC is 1114893096. It was assigned to this organization in the NPPES registry on October 16, 2025. The provider is doing business as Novant Health Interventional Imaging at East Cooper.

Where is East Cooper Physician Group LLC located?

East Cooper Physician Group LLC is located at 2000 Hospital Dr, Mt Pleasant, SC 29464. The listed phone number is (843) 416-6150.

What is East Cooper Physician Group LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is East Cooper Physician Group LLC enrolled in Medicare?

Yes. East Cooper Physician Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through East Cooper Physician Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 157 clinicians in 15 Medicare specialties reassign their Medicare billing to East Cooper Physician Group 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. The largest specialties are Diagnostic Radiology (67), Obstetrics/Gynecology (34) and Nurse Practitioner (15). Of these, 56 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does East Cooper Physician Group LLC accept?

Health plans from Molina Healthcare list East Cooper Physician Group 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 East Cooper Physician Group LLC was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.