LOWCOUNTRY STREET GROCERY
NPI 1568081024
Dietitian, Registered in Charleston, SC
About Lowcountry Street Grocery NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOWCOUNTRY STREET GROCERY (NPI 1568081024) is a healthcare organization registered as a dietitian, registered in Charleston, South Carolina and active in the NPI registry since April 2020. The organization lists Olivia Myers, Registered Dietitian, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lowcountry Street Grocery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Lowcountry Street Grocery, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Lowcountry Street Grocery's NPI number?
The NPI number for Lowcountry Street Grocery is 1568081024. It was assigned to this organization in the NPPES registry on April 14, 2020.
Where is Lowcountry Street Grocery located?
Lowcountry Street Grocery is located at 1108 Wappoo Rd, Charleston, SC 29407. The listed phone number is (843) 609-8188.
What is Lowcountry Street Grocery's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Lowcountry Street Grocery enrolled in Medicare?
Yes. Lowcountry Street Grocery is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lowcountry Street Grocery?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Registered Dietitian or Nutrition Professional, reassign their Medicare billing to Lowcountry Street Grocery. 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 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 Lowcountry Street Grocery was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Lowcountry Street Grocery · NPI 1568081024
Dietitian, Registered organization in Charleston, South Carolina. Organization record, active in the CMS NPPES registry since April 14, 2020.
## Identity
- **NPI:** 1568081024 (Entity type: Organization)
- **Enumerated:** April 14, 2020
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **Organization subpart:** No
- **Authorized official:** Olivia Myers, REGISTERED DIETITIAN
## Practice location
- **Address:** 1108 WAPPOO RD, Charleston, SC 29407-5954
- **Phone:** (843) 609-8188
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Registered Dietitian or Nutrition Professional) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 28, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1568081024) · Data from the CMS NPPES public registry.