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MARY LOU KORPON CPNP
NPI 1417936642
Nurse Practitioner - Pediatrics in Summerville, SC

Active since January 16, 2006
202 BENTONS LODGE RD, SUMMERVILLE, SC 29485(843) 871-2588(843) 871-1664 Get Directions Write a Review

NPPES record last updated: March 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Lou Korpon Cpnp NPPES

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

MARY LOU KORPON CPNP (NPI 1417936642) is an individual pediatrics provider in Summerville, South Carolina, licensed in South Carolina (APN486) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1417936642
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARY LOU KORPONCredential: CPNP
Location Address202 BENTONS LODGE RDSummerville, SC 29485-6322
Mailing Address202 Bentons Lodge RdSummerville, SC 29485-6322 · (843) 871-2588 · Fax (843) 871-1664
Phone(843) 871-2588
Fax(843) 871-1664
Sole ProprietorNo
Enumeration DateJanuary 16, 2006
Last NPPES UpdateMarch 27, 2017
✔ NPI 1417936642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in SC · APN486
202 BENTONS LODGE RD, Summerville, SC 29485
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Other Identifiers 2

MedicaidNP0187SC
Medicare UPINQ31747SC

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.

DR. ESTHER SPIEGLE WILSON MD
Pediatrics
202 BENTONS LODGE RD
SUMMERVILLE, SC 29485
Dorchester County (843) 871-2588
DR. REBECCA MICHELLE CAFIERO MD
Pediatrics
202 BENTONS LODGE RD
SUMMERVILLE, SC 29485
Dorchester County (843) 871-2588
JESSICA LITSEY M.D.
Pediatrics
202 BENTONS LODGE RD
SUMMERVILLE, SC 29485
Dorchester County (843) 871-2588
DR. MARY KATE TILLMAN M.D.
Pediatrics
202 BENTONS LODGE RD
SUMMERVILLE, SC 29485
Dorchester County (843) 871-2588
HANNAH WINNINGHAM
Nurse Practitioner (Pediatrics)
202 BENTONS LODGE RD
SUMMERVILLE, SC 29485
Dorchester County (843) 871-2588

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 Mary Lou Korpon's NPI number?

The NPI number for Mary Lou Korpon is 1417936642. It was assigned to this individual provider in the NPPES registry on January 16, 2006.

Where is Mary Lou Korpon located?

Mary Lou Korpon practices at 202 Bentons Lodge Rd, Summerville, SC 29485. The listed phone number is (843) 871-2588.

What is Mary Lou Korpon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mary Lou Korpon was last updated on March 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.