MT. PLEASANT INTERNAL MEDICINE
NPI 1275528168
Internal Medicine in Mt Pleasant, SC

Active since September 16, 2005CLIA 42D0251171 · Microscopy
498 WANDO PARK BLVD STE 500, MT PLEASANT, SC 29464(843) 881-1671(866) 834-5680 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2024, Mar 28, 2023, Mar 22, 2021 (3 updates tracked since 2021).

About Mt. Pleasant Internal Medicine NPPES

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

MT. PLEASANT INTERNAL MEDICINE (NPI 1275528168) is a healthcare organization registered as an internal medicine in Mt Pleasant, South Carolina and active in the NPI registry since September 2005. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Mary Nell Goolsby, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1275528168
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMT. PLEASANT INTERNAL MEDICINE
Location Address498 WANDO PARK BLVD STE 500Mt Pleasant, SC 29464-7963
Mailing Address498 Wando Park Blvd Ste 500Mt Pleasant, SC 29464-7963 · (843) 881-1671 · Fax (866) 834-5680
Fax(866) 834-5680
Organization SubpartNo
Authorized OfficialMary Nell GoolsbyDirector Of Operations · (843) 881-1671
Enumeration DateSeptember 16, 2005
Last NPPES UpdateFebruary 6, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
NPI 1275528168 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.
498 WANDO PARK BLVD STE 500, Mt Pleasant, SC 29464

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 SINGLE SPECIALTY GROUP

Accepted Insurance

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 for Provider-Performed Microscopy Procedures (PPMP) 42D0251171

Mt Pleasant Internal Medicine PA · Mt Pleasant, SC
Active · expires Aug 31, 2026
CLIA Number42D0251171
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKimberly Davis
Laboratory Phone(843) 881-1671
Laboratory LocationMt Pleasant Internal Medicine PA498 Wando Park Blvd. Suite 500, Mt Pleasant, SC 29464
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

Internal Medicine
498 WANDO PARK BLVD STE 500
MT PLEASANT, SC 29464
Internal Medicine
498 WANDO PARK BLVD STE 500
MOUNT 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 Mt. Pleasant Internal Medicine's NPI number?

The NPI number for Mt. Pleasant Internal Medicine is 1275528168. It was assigned to this organization in the NPPES registry on September 16, 2005.

Where is Mt. Pleasant Internal Medicine located?

Mt. Pleasant Internal Medicine is located at 498 Wando Park Blvd Ste 500, Mt Pleasant, SC 29464. The listed phone number is (843) 881-1671.

What is Mt. Pleasant Internal Medicine's specialty?

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

Does Mt. Pleasant Internal Medicine hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D0251171) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mt. Pleasant Internal Medicine accept?

Health plans from BlueCross BlueShield of South Carolina list Mt. Pleasant Internal Medicine 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 Mt. Pleasant Internal Medicine was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.