Moncks Corner Pediatrics LLC

Moncks Corner Pediatrics LLC is a healthcare organization registered as Rural Health Clinic/Center in Moncks Corner, SC, holding Type 2 (organization) NPI 1245550821 since 2010. The authorized official on file is Joseph West, Owner.

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NPI	1245550821
Entity type	Organization (Type 2)
Legal business name	Moncks Corner Pediatrics LLC
Practice address	5000 EPSON PLANTATION DR STE B, Moncks Corner, SC, 29461
Phone	8437612000
Fax	8437612267
Enumeration date	2010-06-07
Last updated in NPPES	2010-06-07

Authorized official

Name	Joseph West
Title	Owner
Phone	8437612000

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QR1300X	Rural Health Clinic/Center	Primary	—	—

Other identifiers

Identifier	Type	State	Issuer
RHC188	Medicaid	SC	—

Copy-ready billing details

Provider: Moncks Corner Pediatrics LLC
NPI: 1245550821
Taxonomy: 261QR1300X (Rural Health Clinic/Center)
Address: 5000 EPSON PLANTATION DR STE B, Moncks Corner, SC, 29461

Providers at this address

NPI	Name	Type	Specialty	Location
1427067818	Christine Canivan	Individual	Pediatrics Physician	Moncks Corner, SC
1750591004	Heather Richardson	Individual	Pediatrics Physician	Moncks Corner, SC

Verify this record

Cross-check NPI 1245550821 against the authoritative CMS record: view Moncks Corner Pediatrics LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-06-07. Verify at npiregistry.cms.hhs.gov.

Where is Moncks Corner Pediatrics LLC located?

The practice location on file with NPPES is in Moncks Corner, SC.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-06-07.