1. Home
  2. Directory
  3. South Carolina
  4. Mt Pleasant
  5. Surgery
  6. NPI Profile
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 1285496026
Surgery in Mt Pleasant, SC

Active since January 26, 2024
881 LEONARD FULGHUM DR STE 102, MT PLEASANT, SC 29464(999) 999-9999 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 10, 2026, May 9, 2024 (2 updates tracked since 2024).

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 1285496026), doing business as East Cooper Breast And General Surgery, is a healthcare organization registered as a surgery in Mt Pleasant, 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

NPI1285496026
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameEAST COOPER PHYSICIAN GROUP LLC
Location Address881 LEONARD FULGHUM DR STE 102Mt Pleasant, SC 29464-5473
Mailing AddressPo Box 604408Charlotte, NC 28260-4408
Phone(999) 999-9999
Organization SubpartNo
Authorized OfficialDoreatha RogersRcs Manager · (980) 302-7992
Enumeration DateJanuary 26, 2024
Last NPPES UpdateSeptember 10, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ NPI 1285496026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
881 LEONARD FULGHUM DR STE 102, Mt Pleasant, SC 29464
Open in Google Maps ↗

Other Names 2

Doing Business AsEast Cooper Breast And General Surgery
Doing Business AsNovant Health Breast Surgery - East Cooper

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.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, 17 practice at this address and 56 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
Melanie Blohm, M.D.
Obstetrics/Gynecology
NPI 1952714271
881 LEONARD FULGHUM DR STE 103
Mount Pleasant, SC 29464
(843) 884-5133
✔ PECOSSame address
Brittany Bowler, DO
Obstetrics/Gynecology
NPI 1174015382
881 LEONARD FULGHUM DR STE 202
Mount Pleasant, SC 29464
(843) 856-3262
✔ PECOS✔ Accepts MedicareSame address
Kaitlin Brobst, ND
Obstetrics/Gynecology
NPI 1558949081
881 LEONARD FULGHUM DR STE 103
Mount Pleasant, SC 29464
(843) 884-5133
✔ PECOS✔ Accepts MedicareSame address
Lynn Crymes, MD
Obstetrics/Gynecology
NPI 1720049414
881 LEONARD FULGHUM DR STE 103
Mt Pleasant, SC 29464
(843) 884-5133
✔ PECOS✔ Accepts MedicareSame address
Jennifer Donlin, NP
Nurse Practitioner
NPI 1336772557
881 LEONARD FULGHUM DR STE 202
Mount Pleasant, SC 29464
(843) 856-3262
✔ PECOS✔ Accepts MedicareSame address
Carrie Funkhauser, M.D.
Obstetrics/Gynecology
NPI 1285651208
881 LEONARD FULGHUM DR STE 103
Mount Pleasant, SC 29464
(843) 856-3262
✔ PECOS✔ Accepts MedicareSame address
Natalie Gregory, MD
Obstetrics/Gynecology
NPI 1235285859
881 LEONARD FULGHUM DR STE 103
Mt Pleasant, SC 29464
(843) 884-5133
✔ PECOS✔ Accepts MedicareSame address
Natalie Hammond, MD
Obstetrics/Gynecology
NPI 1558459610
881 LEONARD FULGHUM DR STE 202
Mount Pleasant, SC 29464
(843) 856-3262
✔ PECOS✔ Accepts MedicareSame address
Christina Hawkins, WHNP-BC (APRN)
Nurse Practitioner
NPI 1083330179
881 LEONARD FULGHUM DR STE 202
Mount Pleasant, SC 29464
(843) 856-3262
✔ PECOS✔ Accepts MedicareSame address
Megan Hrenya, WHNP-BC
Nurse Practitioner
NPI 1184436594
881 LEONARD FULGHUM DR STE 103
Mount Pleasant, SC 29464
(843) 884-5133
✔ PECOS✔ Accepts MedicareSame address
Molly Joseph, MD
Obstetrics/Gynecology
NPI 1396708145
881 LEONARD FULGHUM DR STE 103
Mt Pleasant, SC 29464
(843) 884-5133
✔ PECOS✔ Accepts MedicareSame address
Mickayla Neibert, NP
Nurse Practitioner
NPI 1255141024
881 LEONARD FULGHUM DR STE 103
Mount Pleasant, SC 29464
(843) 884-5133
✔ PECOS✔ Accepts MedicareSame address
Toya Pound, MD
Obstetrics/Gynecology
NPI 1427164805
881 LEONARD FULGHUM DR STE 202
Mt Pleasant, SC 29464
(843) 856-3262
✔ PECOS✔ Accepts MedicareSame address
Margaret Sabourin, DO
Obstetrics/Gynecology
NPI 1316529100
881 LEONARD FULGHUM DR STE 103
Mount Pleasant, SC 29464
(843) 884-5133
✔ PECOS✔ Accepts MedicareSame address
Laura Stickler, MD
Obstetrics/Gynecology
NPI 1669588034
881 LEONARD FULGHUM DR STE 202
Mt Pleasant, SC 29464
(843) 856-3262
✔ PECOS✔ Accepts MedicareSame address
Morgan Widenhouse
Nurse Practitioner
NPI 1629817911
881 LEONARD FULGHUM DR STE 202
Mt Pleasant, SC 29464
(843) 856-3262
✔ PECOS✔ Accepts MedicareSame address
Bridget Williamson, MD
Obstetrics/Gynecology
NPI 1104932524
881 LEONARD FULGHUM DR STE 202
Mt Pleasant, SC 29464
(843) 856-3262
✔ PECOS✔ Accepts MedicareSame address
Christian Cook, M.D.
Obstetrics/Gynecology
NPI 1861499295
851 LEONARD FULGHUM DR SUITE 200
Mt Pleasant, SC 29464
(843) 856-3262
✔ PECOS✔ Accepts Medicare0.1 mi
William Estes
Orthopedic Surgery
NPI 1124080684
851 LEONARD FULGHUM BLVD SUITE 101
Mount Pleasant, SC 29464
(843) 971-9350
✔ PECOS✔ Accepts Medicare0.1 mi
Alyssa Petry, WHNP-BC
Nurse Practitioner
NPI 1649718834
851 LEONARD FULGHUM DR STE. 201
Mount Pleasant, SC 29464
(843) 884-5133
✔ PECOS✔ Accepts Medicare0.1 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 1285496026. It was assigned to this organization in the NPPES registry on January 26, 2024. The provider is doing business as East Cooper Breast and General Surgery and Novant Health Breast Surgery - East Cooper.

Where is East Cooper Physician Group LLC located?

East Cooper Physician Group LLC is located at 881 Leonard Fulghum Dr Ste 102, Mt Pleasant, SC 29464. The listed phone number is (999) 999-9999.

What is East Cooper Physician Group LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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, 17 practice at this address and 56 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 and First Choice Next 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 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 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.