SPORTS MEDICINE SPECIALISTS OF CHARLESTON
NPI 1316708456
Internal Medicine - Sports Medicine in Mt Pleasant, SC

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

The NPI number for East Cooper Physician Group LLC is 1316708456. It was assigned to this organization in the NPPES registry on January 16, 2024. The provider is doing business as Sports Medicine Specialists Of Charleston.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Active since January 16, 2024

851 LEONARD FULGHUM DR STE 101, MT PLEASANT, SC 29464(843) 971-9350(843) 971-9351 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Sports Medicine Specialists Of Charleston NPPES

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

SPORTS MEDICINE SPECIALISTS OF CHARLESTON (NPI 1316708456) is a healthcare organization registered as a sports medicine in Mt Pleasant, South Carolina and active in the NPI registry since January 2024. The organization maintains a secondary practice location in Goose Creek and lists Doreatha Rogers, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1316708456

Entity TypeOrganization

Primary Taxonomy207RS0010X

Legal Business NameEAST COOPER PHYSICIAN GROUP LLC

Location Address851 LEONARD FULGHUM DR STE 101Mt Pleasant, SC 29464-3793

Mailing AddressPo Box 37642Belfast, ME 04915-1218

Phone(843) 971-9350

Fax(843) 971-9351

Organization SubpartNo

Authorized OfficialDoreatha RogersRcs Manager · (980) 302-7992

Enumeration DateJanuary 16, 2024

Last NPPES UpdateFebruary 9, 2024

NPPES CertifiedFebruary 9, 2024

✔ NPI 1316708456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RS0010X

Definition

An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.

Also ListedInternal MedicineTaxonomy 207R00000X

851 LEONARD FULGHUM DR STE 101, Mt Pleasant, SC 29464

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Other Names 1

Doing Business AsSports Medicine Specialists Of Charleston

Secondary Practice Location 1

Location 17 S Alliance Dr Ste 111BGoose Creek, SC 29445-7296 · 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sports Medicine Specialists Of Charleston 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 Sports Medicine Specialists Of Charleston, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 59 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

Brodie Mckoy, M.D.

Orthopedic Surgery

NPI 1598777864

851 LEONARD FULGHUM BLVD SUITE 101
Mt Pleasant, SC 29464

(843) 971-9750

✔ PECOS✔ Accepts MedicareSame address

Ann Peterson, APRN-BC

Nurse Practitioner

NPI 1154545465

851 LEONARD FULGHUM BLVD. STE. 101
Mount Pleasant, SC 29464

(843) 971-9350

✔ PECOS✔ Accepts MedicareSame address

Harold Schutte, MD

Orthopedic Surgery

NPI 1740201805

851 LEONARD FULGHUM BLVD SUITE 101
Mt Pleasant, SC 29464

(843) 971-9350

✔ PECOS✔ Accepts MedicareSame address

Sarah Voges, APRN, ATC, FNP-C

Nurse Practitioner

NPI 1154433852

851 LEONARD FULGHUM DR STE 101
Mt Pleasant, SC 29464

(843) 971-9350

✔ PECOS✔ Accepts MedicareSame address

Gabriel Gaweda, MD

General Surgery

NPI 1568088235

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

(910) 617-2402

✔ PECOS✔ Accepts Medicare3.2 mi

Alexandra Rowin, MD

Obstetrics/Gynecology

NPI 1740591452

171 ASHLEY AVE
Charleston, SC 29425

(843) 792-1414

✔ PECOS3.3 mi

Melissa Hunter, MD

Family Practice

NPI 1437107851

180 WINGO WAY STE 304
Mt Pleasant, SC 29464

(843) 402-1741

✔ PECOS✔ Accepts Medicare5.0 mi

Lee Allison, M.D.

Family Practice

NPI 1417037078

1200 TWO ISLAND CT SUITE E
Mt Pleasant, SC 29466

(843) 849-1300

✔ PECOS✔ Accepts Medicare5.4 mi

Rex Morgan, MD

Family Practice

NPI 1992771000

1200 TWO ISLAND CT SUITE E
Mt Pleasant, SC 29466

(843) 849-1300

✔ PECOS✔ Accepts Medicare5.4 mi

Marc Haro, MD

Orthopedic Surgery

NPI 1023277209

1106 CHUCK DAWLEY BLVD STE 200
Mt Pleasant, SC 29464

(843) 849-1551

✔ PECOS✔ Accepts Medicare6.1 mi

Summer Hudson

Registered Dietitian or Nutrition Professional

NPI 1124905757

1280 HOSPITAL DR UNIT 302
Mount Pleasant, SC 29464

(843) 352-4154

6.9 mi

Gianna Stoleru, MD

Internal Medicine

NPI 1639639552

1300 HOSPITAL DR STE 300
Mount Pleasant, SC 29464

(843) 884-5200

✔ PECOS✔ Accepts Medicare6.9 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

✔ PECOS6.9 mi

Kathleen Gibson, NURSE PRACTITIONER

Nurse Practitioner

NPI 1972857860

1300 HOSPITAL DR SUITE 270
Mount Pleasant, SC 29464

(843) 884-5133

✔ PECOS7.0 mi

Jonathan Parrack, D.O.

Gastroenterology

NPI 1043453046

1300 HOSPITAL DR STE 300
Mt Pleasant, SC 29464

(843) 884-5200

✔ PECOS✔ Accepts Medicare7.0 mi

Mary Shuman

Nurse Practitioner

NPI 1407453699

1625 HOSPITAL DR STE 370
Mt Pleasant, SC 29464

(843) 883-1007

✔ PECOS7.2 mi

Christian Cook, M.D.

Obstetrics/Gynecology

NPI 1861499295

851 LEONARD FULGHUM DR SUITE 200
Mt Pleasant, SC 29464

(843) 856-3262

✔ PECOS✔ Accepts Medicare7.3 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 Medicare7.5 mi

Eric Angermeier, M.D.

Hand Surgery

NPI 1720285539

851 LEONARD FULGHUM DR STE 101
Mount Pleasant, SC 29464

(843) 893-6580

✔ PECOS✔ Accepts Medicare9.9 mi

Edward Morrison, M.D.

Vascular Surgery

NPI 1740379916

851 LEONARD FULGHUM DR STE 100
Mount Pleasant, SC 29464

(843) 936-5951

✔ PECOS✔ Accepts Medicare9.9 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 1316708456. It was assigned to this organization in the NPPES registry on January 16, 2024. The provider is doing business as Sports Medicine Specialists Of Charleston.

Where is East Cooper Physician Group LLC located?

East Cooper Physician Group LLC is located at 851 Leonard Fulghum Dr Ste 101, Mt Pleasant, SC 29464. 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 Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

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, 4 practice at this address and 59 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for East Cooper Physician Group LLC was last updated on February 9, 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.