EAST COOPER PHYSICIAN GROUP LLC
NPI 1255294989
Orthopaedic Surgery - Sports Medicine in Goose Creek, SC

Q: What is East Cooper Physician Group LLC's NPI number?

The NPI number for East Cooper Physician Group LLC is 1255294989. It was assigned to this organization in the NPPES registry on December 9, 2025.

Q: What is East Cooper Physician Group LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Active since December 09, 2025

7 S ALLIANCE DR STE 111B, GOOSE CREEK, SC 29445(843) 971-9350(843) 971-9351 Get Directions Write a Review

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

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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 1255294989) is a healthcare organization registered as a sports medicine in Goose Creek, South Carolina and active in the NPI registry since December 2025. The organization maintains a secondary practice location in Mt Pleasant and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1255294989

Entity TypeOrganization

Primary Taxonomy207XX0005X

Legal Business NameEAST COOPER PHYSICIAN GROUP LLC

Location Address7 S ALLIANCE DR STE 111BGoose Creek, SC 29445-7296

Mailing AddressPo Box 604408Charlotte, NC 28260-4408

Phone(843) 971-9350

Fax(843) 971-9351

Organization SubpartNo

Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081

Enumeration DateDecember 9, 2025

Last NPPES UpdateFebruary 28, 2026

NPPES CertifiedFebruary 28, 2026

✔ NPI 1255294989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

7 S ALLIANCE DR STE 111B, Goose Creek, SC 29445

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Secondary Practice Location 1

Location 1851 Leonard Fulghum Dr Ste 101MT Pleasant, SC 29464-3793 · Phone (843) 971-9350 · Fax (843) 971-9351

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 Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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, 10 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

Stewart Trimble, MD

Internal Medicine

NPI 1801848650

501 CARNES CROSSING BLVD STE B
Summerville, SC 29486

(843) 212-8080

✔ PECOS✔ Accepts Medicare2.5 mi

Jerry Back, MD

Internal Medicine

NPI 1821181868

2845 TRICOM ST
North Charleston, SC 29406

(843) 863-8100

✔ PECOS✔ Accepts Medicare3.4 mi

William Corey, MD

Orthopedic Surgery

NPI 1700097722

2880 TRICOM ST
North Charleston, SC 29406

(843) 797-5050

✔ PECOS✔ Accepts Medicare3.4 mi

Kyle Kokko, M.D., PH.D.

Hand Surgery

NPI 1902984990

202 NEXTON SQUARE DRIVE
Summerville, SC 29486

(854) 429-4263

✔ PECOS✔ Accepts Medicare3.5 mi

Sarah Minter, D.O.

Internal Medicine

NPI 1881058204

3508 S LIVE OAK DR
Moncks Corner, SC 29461

(843) 212-8022

✔ PECOS✔ Accepts Medicare3.6 mi

Celeste Curnick, FNP

Nurse Practitioner

NPI 1184997348

5500 FRONT ST # 260
Summerville, SC 29486

(843) 376-0670

✔ PECOS3.9 mi

Liza Bergrin, MSN, CNM

Certified Nurse Midwife (CNM)

NPI 1689100968

406 BRIGHTON PARK BLVD STE 101
Summerville, SC 29486

(854) 287-3560

✔ PECOS4.0 mi

Amanda Peebles, FNP-C

Nurse Practitioner

NPI 1396220034

406 BRIGHTON PARK BLVD STE 101
Summerville, SC 29486

(854) 287-3560

✔ PECOS✔ Accepts Medicare4.0 mi

Neil Mcdevitt, MD

General Surgery

NPI 1649242447

109 BURTON AVE SUITE E
Summerville, SC 29485

(843) 875-8994

✔ PECOS✔ Accepts Medicare5.6 mi

Kristina Manniello, OT

Occupational Therapist in Private Practice

NPI 1639238975

1022 MOUNT WHITNEY DR
Summerville, SC 29483

(413) 949-0986

✔ Accepts Medicare7.1 mi

Lorianne Ezman, MD

Obstetrics/Gynecology

NPI 1588635429

2097 HENRY TECKLENBURG DR SUITE: 312 W
Charleston, SC 29414

(843) 769-5620

✔ PECOS✔ Accepts Medicare15 mi

John Cleek, M.D.

Internal Medicine

NPI 1750301404

2093 HENRY TECKLENBURG DR STE 202E
Charleston, SC 29414

(843) 958-2590

✔ PECOS✔ Accepts Medicare15 mi

Laura Cramer, OTR L

Occupational Therapist in Private Practice

NPI 1760851273

1483 TOBIAS GADSON BLVD SUITE 205B
Charleston, SC 29407

(843) 766-6494

✔ Accepts Medicare15 mi

John Inman, MD

Family Practice

NPI 1255495644

880 ISLAND PARK DR UNIT 200
Daniel Island, SC 29492

(843) 856-1771

✔ PECOS✔ Accepts Medicare15 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 Medicare18 mi

Gabriel Gaweda, MD

General Surgery

NPI 1568088235

169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL, MSC333
Charleston, SC 29425

(910) 617-2402

✔ PECOS✔ Accepts Medicare18 mi

William Estes

Orthopedic Surgery

NPI 1124080684

851 LEONARD FULGHUM BLVD SUITE 101
Mount Pleasant, SC 29464

(843) 971-9350

✔ PECOS✔ Accepts Medicare19 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

✔ PECOS20 mi

Eric Angermeier, M.D.

Hand Surgery

NPI 1720285539

851 LEONARD FULGHUM DR STE 101
Mount Pleasant, SC 29464

(843) 893-6580

✔ PECOS✔ Accepts Medicare20 mi

Edward Morrison, M.D.

Vascular Surgery

NPI 1740379916

851 LEONARD FULGHUM DR STE 100
Mount Pleasant, SC 29464

(843) 936-5951

✔ PECOS✔ Accepts Medicare20 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 1255294989. It was assigned to this organization in the NPPES registry on December 9, 2025.

Where is East Cooper Physician Group LLC located?

East Cooper Physician Group LLC is located at 7 S Alliance Dr Ste 111B, Goose Creek, SC 29445. The listed phone number is (843) 971-9350.

What is East Cooper Physician Group LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

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, 10 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 Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina 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.