SEASIDE PEDIATRICS, PA
NPI 1326105255
Pediatrics in Mt Pleasant, SC
NPI Status: Active since January 02, 2007
Contact Information
309 WINGO WAY
SUITE 101
MT PLEASANT, SC
ZIP 29464
Phone: (843) 881-2484
Fax: (843) 881-2909
- Organization
- Pediatrics
- Accepts Insurance
- CLIA Number: 42D0981997
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-11-2027
About SEASIDE PEDIATRICS, PA
This page provides the complete NPI Profile along with additional information for Seaside Pediatrics, Pa, a pediatrician established in Mt Pleasant, South Carolina operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1326105255 assigned on January 2007. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Tammy H Cobb (Office Manager)
- NPI
- 1326105255
- Provider Name
- SEASIDE PEDIATRICS, PA
- Entity Type
- Organization
- Location Address
- 309 WINGO WAY SUITE 101 MT PLEASANT, SC 29464
- Location Phone
- (843) 881-2484
- Location Fax
- (843) 881-2909
- Mailing Address
- 309 WINGO WAY SUITE 101 MT PLEASANT, SC 29464
- Mailing Phone
- (843) 881-2484
- Mailing Fax
- (843) 881-2909
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-02-2007
- Last Update Date
- 08-22-2020
- Code Navigator
A pediatrician like Seaside Pediatrics, Pa is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- SC
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Blue Cooper Bronze 1 - HMO
- Blue Cooper Bronze 2 - HMO
- Blue Cooper Gold 1 - HMO
- Blue Cooper Silver 1 - HMO
- Blue Cooper Silver 2 - HMO
- Blue Cooper Silver 2 + Adult Vision - HMO
- Blue Cooper Standard Expanded Bronze - HMO
- Blue Cooper Standard Gold - HMO
- Blue Cooper Standard Silver - HMO
- Blue Direction Silver 1 - POS
- First Choice Next Bronze Essential - HMO
- First Choice Next Bronze Premier - HMO
- First Choice Next Bronze Signature - HMO
- First Choice Next Gold Deluxe - HMO
- First Choice Next Gold Signature - HMO
- First Choice Next Silver Deluxe - HMO
- First Choice Next Silver Premier - HMO
- First Choice Next Silver Signature - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 - HMO
- Silver 8 - HMO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| GP3029 | MEDICAID (05) | SC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D0981997
- Facility Type
- Physician Office
- Certificate Effective Date
- January 12, 2025
- Certificate Expiration Date
- January 11, 2027
- Laboratory Director
- KIMBERELY S. ZIMLICH MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Seaside Pediatrics, Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SEASIDE PEDIATRICS, PA
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 2 | 6 | 1 | 0 | 5 | 2 | 5 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 4 | 6 | 2 | 0 | 10 | 2 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 4 + 6 + 2 + 0 + 1 + 0 + 2 + 1 + 0 + 24 = 45 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 45 = 5 | 5 | ||||||||
The NPI number 1326105255 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1164430138 | MRS. KIMBERLY S ZIMLICH MD Individual | Pediatrics | 309 WINGO WAY STE 101 MT PLEASANT, SC 29464 (843) 881-2484 |
| 1356359327 | MRS. JANET O WHITE MD Individual | Pediatrics | 309 WINGO WAY SUITE 101 MT PLEASANT, SC 29464 (843) 881-2484 |
| 1548327174 | MRS. SHANNON M NOBLE MD Individual | Pediatrics | 309 WINGO WAY STE 101 MT PLEASANT, SC 29464 (843) 881-2484 |
| 1518269463 | SHELDON C. LEVIN PH.D., LLC Organization | Clinical Neuropsychologist | 309 WINGO WAY SUITE 103 MT PLEASANT, SC 29464 (843) 216-2535 |
| 1962748996 | MRS. ALICE GAIL LOGUIDICE CPNP Individual | Nurse Practitioner (Pediatrics) | 309 WINGO WAY MOUNT PLEASANT, SC 29464 (843) 881-2484 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326105255, enumerated in the NPI registry as an "organization" on January 02, 2007
The provider is located at 309 Wingo Way Suite 101 Mt Pleasant, Sc 29464 and the phone number is (843) 881-2484
This medical organization specializes in Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 42D0981997 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on January 02, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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