MT. PLEASANT INTERNAL MEDICINE
NPI 1275528168
Internal Medicine in Mt Pleasant, SC
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, 2028 and lists Mary Nell Goolsby, Director Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mt. Pleasant Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mt. Pleasant Internal Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Mount Pleasant, SC 29464
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, SCFrequently 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.
Is Mt. Pleasant Internal Medicine enrolled in Medicare?
Yes. Mt. Pleasant Internal Medicine is registered in the Medicare PECOS enrollment system.
When is Mt. Pleasant Internal Medicine's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (South Carolina, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Mt. Pleasant Internal Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Mt. Pleasant Internal Medicine. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, 2028. 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 and Molina Healthcare 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.
# Mt. Pleasant Internal Medicine · NPI 1275528168
Internal Medicine organization in Mt Pleasant, South Carolina. Organization record, active in the CMS NPPES registry since September 16, 2005.
## Identity
- **NPI:** 1275528168 (Entity type: Organization)
- **Enumerated:** September 16, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Mary Nell Goolsby, DIRECTOR OF OPERATIONS
## Practice location
- **Address:** 498 WANDO PARK BLVD STE 500, Mt Pleasant, SC 29464-7963
- **Phone:** (843) 881-1671 · **Fax:** (866) 834-5680
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, South Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Internal Medicine) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 6, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1275528168) · Data from the CMS NPPES public registry.