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EAST COOPER PHYSICIAN GROUP LLC
NPI 1255192308
Internal Medicine in Daniel Island, SC

Active since January 17, 2024
880 ISLAND PARK DR UNIT 220, DANIEL ISLAND, SC 29492(843) 380-9330(843) 380-8212 Get Directions Write a Review

NPPES record last updated: February 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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 1255192308), doing business as High Tide Internal Medicine - East Cooper Medical Group, is a healthcare organization registered as an internal medicine in Daniel Island, South Carolina and active in the NPI registry since January 2024. The organization lists Doreatha Rogers, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1255192308
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEAST COOPER PHYSICIAN GROUP LLC
Location Address880 ISLAND PARK DR UNIT 220Daniel Island, SC 29492-2902
Mailing AddressPo Box 604408Charlotte, NC 28260-4408
Phone(843) 380-9330
Fax(843) 380-8212
Organization SubpartNo
Authorized OfficialDoreatha RogersRcs Manager · (980) 302-7992
Enumeration DateJanuary 17, 2024
Last NPPES UpdateFebruary 28, 2026
NPPES CertifiedFebruary 28, 2026
✔ NPI 1255192308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
880 ISLAND PARK DR UNIT 220, Daniel Island, SC 29492
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Other Names 1

Doing Business AsHigh Tide Internal Medicine - East Cooper Medical Group

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

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare.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, 3 practice at this address and 61 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
Matthew Moran, MD
Internal Medicine
NPI 1477121721
880 ISLAND PARK DR UNIT 220
Daniel Island, SC 29492
(843) 380-9330
✔ PECOS✔ Accepts MedicareSame address
John Inman, MD
Family Practice
NPI 1255495644
880 ISLAND PARK DR UNIT 200
Daniel Island, SC 29492
(843) 856-1771
✔ PECOS✔ Accepts MedicareSame address
Jamie Marth, MD
Obstetrics/Gynecology
NPI 1124447370
880 ISLAND PARK DR UNIT 220
Daniel Island, SC 29492
(843) 936-5970
✔ PECOS✔ Accepts MedicareSame address
John Knepper, D.O.
Family Practice
NPI 1063495067
570 LONG POINT RD STE 130
Mount Pleasant, SC 29464
(843) 884-2133
✔ PECOS✔ Accepts Medicare3.0 mi
Kayla Windham, DNP, APRN, FNP-C
Nurse Practitioner
NPI 1093447518
570 LONG POINT RD STE 130
Mt Pleasant, SC 29464
(843) 884-2133
✔ PECOS✔ Accepts Medicare3.0 mi
Lee Allison, M.D.
Family Practice
NPI 1417037078
1200 TWO ISLAND CT SUITE E
Mt Pleasant, SC 29466
(843) 849-1300
✔ PECOS✔ Accepts Medicare3.4 mi
Rex Morgan, MD
Family Practice
NPI 1992771000
1200 TWO ISLAND CT SUITE E
Mt Pleasant, SC 29466
(843) 849-1300
✔ PECOS✔ Accepts Medicare3.4 mi
Melissa Hunter, MD
Family Practice
NPI 1437107851
180 WINGO WAY STE 304
Mt Pleasant, SC 29464
(843) 402-1741
✔ PECOS✔ Accepts Medicare4.1 mi
Melanie Blohm, M.D.
Obstetrics/Gynecology
NPI 1952714271
881 LEONARD FULGHUM DR STE 103
Mount Pleasant, SC 29464
(843) 884-5133
✔ PECOS4.3 mi
Brittany Bowler, DO
Obstetrics/Gynecology
NPI 1174015382
881 LEONARD FULGHUM DR STE 202
Mount Pleasant, SC 29464
(843) 856-3262
✔ PECOS✔ Accepts Medicare4.3 mi
Kaitlin Brobst, ND
Obstetrics/Gynecology
NPI 1558949081
881 LEONARD FULGHUM DR STE 103
Mount Pleasant, SC 29464
(843) 884-5133
✔ PECOS✔ Accepts Medicare4.3 mi
Lynn Crymes, MD
Obstetrics/Gynecology
NPI 1720049414
881 LEONARD FULGHUM DR STE 103
Mt Pleasant, SC 29464
(843) 884-5133
✔ PECOS✔ Accepts Medicare4.3 mi
Jennifer Donlin, NP
Nurse Practitioner
NPI 1336772557
881 LEONARD FULGHUM DR STE 202
Mount Pleasant, SC 29464
(843) 856-3262
✔ PECOS✔ Accepts Medicare4.3 mi
Christina Hawkins, WHNP-BC (APRN)
Nurse Practitioner
NPI 1083330179
881 LEONARD FULGHUM DR STE 202
Mount Pleasant, SC 29464
(843) 856-3262
✔ PECOS✔ Accepts Medicare4.3 mi
William Estes
Orthopedic Surgery
NPI 1124080684
851 LEONARD FULGHUM BLVD SUITE 101
Mount Pleasant, SC 29464
(843) 971-9350
✔ PECOS✔ Accepts Medicare4.3 mi
Jeffrey Joyner, M.D.
Gastroenterology
NPI 1134235278
LOW COUNTRY GASTMENTEROLOGY ASSOC PA 1300 HOSPITAL DRIVE, SUITE 300
Mount Pleasant, SC 29464
(843) 884-5200
✔ PECOS4.4 mi
Gianna Stoleru, MD
Internal Medicine
NPI 1639639552
1300 HOSPITAL DR STE 300
Mount Pleasant, SC 29464
(843) 884-5200
✔ PECOS✔ Accepts Medicare4.4 mi
Jonathan Parrack, D.O.
Gastroenterology
NPI 1043453046
1300 HOSPITAL DR STE 300
Mt Pleasant, SC 29464
(843) 884-5200
✔ PECOS✔ Accepts Medicare4.5 mi
Joshua Watson, M.D.
Gastroenterology
NPI 1831171461
1300 HOSPITAL DR STE 300
Mount Pleasant, SC 29464
(843) 884-5200
✔ PECOS✔ Accepts Medicare4.5 mi
Summer Hudson
Registered Dietitian or Nutrition Professional
NPI 1124905757
1280 HOSPITAL DR UNIT 302
Mount Pleasant, SC 29464
(843) 352-4154
4.5 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 1255192308. It was assigned to this organization in the NPPES registry on January 17, 2024. The provider is doing business as High Tide Internal Medicine - East Cooper Medical Group.

Where is East Cooper Physician Group LLC located?

East Cooper Physician Group LLC is located at 880 Island Park Dr Unit 220, Daniel Island, SC 29492. The listed phone number is (843) 380-9330.

What is East Cooper Physician Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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, 3 practice at this address and 61 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 BlueCross BlueShield of South Carolina, First Choice Next and 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 February 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.