SEASIDE PEDIATRICS, PA
NPI 1326105255
Pediatrics in Mt Pleasant, SC

Active since January 02, 2007CLIA 42D0981997 · Waiver
309 WINGO WAY, SUITE 101, MT PLEASANT, SC 29464(843) 881-2484(843) 881-2909 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Seaside Pediatrics, Pa NPPES

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

SEASIDE PEDIATRICS, PA (NPI 1326105255) is a healthcare organization registered as a pediatrics in Mt Pleasant, South Carolina and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through January 11, 2027 and lists Tammy H Cobb, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1326105255
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSEASIDE PEDIATRICS, PA
Location Address309 WINGO WAY, SUITE 101Mt Pleasant, SC 29464-1804
Mailing Address309 Wingo Way, Suite 101Mt Pleasant, SC 29464-1804 · (843) 881-2484 · Fax (843) 881-2909
Fax(843) 881-2909
Organization SubpartNo
Authorized OfficialTammy H CobbOffice Manager · (843) 881-2484
Enumeration DateJanuary 2, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1326105255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

309 WINGO WAY, Mt Pleasant, SC 29464

Other Identifiers 1

MedicaidGP3029SC

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 of Waiver 42D0981997

Seaside Pediatrics · Mount Pleasant, SC
Active · expires Jan 11, 2027
CLIA Number42D0981997
Laboratory TypePhysician Office
Certificate Effective DateJanuary 12, 2025
Certificate Expiration DateJanuary 11, 2027
Laboratory DirectorKimberely S. Zimlich MD
Laboratory Phone(843) 881-2484
Laboratory LocationSeaside Pediatrics309 Wingo Way, Suite 101, Mount Pleasant, SC 29464
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Pediatrics
309 WINGO WAY, STE 101
MT PLEASANT, SC 29464
Pediatrics
309 WINGO WAY, SUITE 101
MT PLEASANT, SC 29464
Clinical Neuropsychologist
309 WINGO WAY, SUITE 103
MT PLEASANT, SC 29464
Pediatrics
309 WINGO WAY, STE 101
MT PLEASANT, SC 29464
Nurse Practitioner (Pediatrics)
309 WINGO WAY
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 Seaside Pediatrics, PA's NPI number?

The NPI number for Seaside Pediatrics, PA is 1326105255. It was assigned to this organization in the NPPES registry on January 2, 2007.

Where is Seaside Pediatrics, PA located?

Seaside Pediatrics, PA is located at 309 Wingo Way Suite 101, Mt Pleasant, SC 29464. The listed phone number is (843) 881-2484.

What is Seaside Pediatrics, PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Seaside Pediatrics, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0981997) is associated with this NPI, valid through January 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Seaside Pediatrics, PA accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Seaside Pediatrics, PA 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 Seaside Pediatrics, PA was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.