| Mobile Medical Consultants | |
|
8761 Dorchester Rd Ste 230 Charleston SC 29420-7322 | |
| (843) 471-2273 | |
| (843) 377-8180 |
| Full Name | Mobile Medical Consultants |
|---|---|
| Speciality | Family Medicine |
| Location | 8761 Dorchester Rd Ste 230, Charleston, South Carolina |
| Authorized Official Name and Position | Lissa C Lara (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8434121590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Medical Consultants 8761 Dorchester Rd Ste 230 Charleston SC 29420-7322 Ph: (843) 412-1590 | Mobile Medical Consultants 8761 Dorchester Rd Ste 230 Charleston SC 29420-7322 Ph: (843) 471-2273 |
| NPI Number | 1700162203 |
|---|---|
| Provider Enumeration Date | 10/27/2011 |
| Last Update Date | 06/02/2026 |
| Certification Date | 06/02/2026 |
| Medicare PECOS PAC ID | 0840466017 |
|---|---|
| Medicare Enrollment ID | O20120110000683 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700162203 | NPI | - | NPPES |
| SC6924A634 | Other | SC | MEDICARE PTAN |
| GP6738 | Medicaid | SC |
| Provider Name | Barry S Katz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942266507 PECOS PAC ID: 1254235047 Enrollment ID: I20031124000122 |
| Provider Name | Patricia a Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326088816 PECOS PAC ID: 8224021233 Enrollment ID: I20040406000618 |
| Provider Name | Donald T Hanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689639072 PECOS PAC ID: 6901798701 Enrollment ID: I20040414001393 |
| Provider Name | Temisan Etikerentse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710986757 PECOS PAC ID: 0244126662 Enrollment ID: I20040427000113 |
| Provider Name | Claudius S Dawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780675306 PECOS PAC ID: 0648249508 Enrollment ID: I20040928000316 |
| Provider Name | Allen B Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902866965 PECOS PAC ID: 1759349376 Enrollment ID: I20050105000010 |
| Provider Name | Jan H Burger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215001979 PECOS PAC ID: 6709815996 Enrollment ID: I20050808001082 |
| Provider Name | Rose Ann-marie Rader |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982791414 PECOS PAC ID: 6507863909 Enrollment ID: I20061031000141 |
| Provider Name | James a Lipke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265476923 PECOS PAC ID: 5597762369 Enrollment ID: I20061109000086 |
| Provider Name | Christine E Houser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679642870 PECOS PAC ID: 9830197078 Enrollment ID: I20061122000034 |
| Provider Name | John J Forney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548240559 PECOS PAC ID: 2769473123 Enrollment ID: I20070117000214 |
| Provider Name | Sherry Jane Famorca Viduya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538125315 PECOS PAC ID: 8921102344 Enrollment ID: I20070323000569 |
| Provider Name | Skye N Deberry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710943584 PECOS PAC ID: 8123119799 Enrollment ID: I20080314000124 |
| Provider Name | Thomas N Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609872803 PECOS PAC ID: 3971574476 Enrollment ID: I20080318000878 |
| Provider Name | Wakesha T Evans |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952585564 PECOS PAC ID: 7911071840 Enrollment ID: I20080811000268 |
| Provider Name | Kacie JC Moody |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841461373 PECOS PAC ID: 1456426139 Enrollment ID: I20080814000236 |
| Provider Name | Matthew J Kornegay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922042654 PECOS PAC ID: 9032113485 Enrollment ID: I20081112000080 |
| Provider Name | Melanie S Valvo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922257377 PECOS PAC ID: 2567524465 Enrollment ID: I20090102000001 |
| Provider Name | Keith D Shealy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578557153 PECOS PAC ID: 9739098864 Enrollment ID: I20100204000876 |
| Provider Name | Frank Sharp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801880711 PECOS PAC ID: 5991832933 Enrollment ID: I20100422000331 |
| Provider Name | Steven Morrow Culp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013901925 PECOS PAC ID: 0648189779 Enrollment ID: I20100422000370 |
| Provider Name | Hugh Dowdy Durrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750551206 PECOS PAC ID: 6204867278 Enrollment ID: I20100723000614 |
| Provider Name | Heather Rose Dawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396705034 PECOS PAC ID: 3072709708 Enrollment ID: I20101120000145 |
| Provider Name | Jeffrey G Schultze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881660918 PECOS PAC ID: 8921287731 Enrollment ID: I20110126000402 |
| Provider Name | Brigid Eileen Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801057294 PECOS PAC ID: 0840461158 Enrollment ID: I20110919000052 |
| Provider Name | Douglas H Gleaton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124226006 PECOS PAC ID: 8628240710 Enrollment ID: I20111014000240 |
| Provider Name | Jennifer Darden Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437411097 PECOS PAC ID: 5698921062 Enrollment ID: I20120820000205 |
| Provider Name | Corynne a Boyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912138983 PECOS PAC ID: 1153477070 Enrollment ID: I20121101000445 |
| Provider Name | Matthew Lawrence Gilbert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407166903 PECOS PAC ID: 6507005196 Enrollment ID: I20130611000490 |
| Provider Name | Melissa M Mayhew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518365899 PECOS PAC ID: 0042530792 Enrollment ID: I20150520000261 |
| Provider Name | Brooke Plewinski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902068984 PECOS PAC ID: 1254408081 Enrollment ID: I20160301001723 |
| Provider Name | Esther Perlmutter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356647861 PECOS PAC ID: 7214100031 Enrollment ID: I20160315002250 |
| Provider Name | Anna Pruitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023057676 PECOS PAC ID: 3971887787 Enrollment ID: I20170222002354 |
| Provider Name | Sherlonda T Adkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497157911 PECOS PAC ID: 4284938960 Enrollment ID: I20170619001553 |
| Provider Name | David L Demby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396285557 PECOS PAC ID: 6608146543 Enrollment ID: I20170725003353 |
| Provider Name | Svetlana C Stuck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073064200 PECOS PAC ID: 7618241415 Enrollment ID: I20170918001596 |
| Provider Name | John Burton Tiffany |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386616084 PECOS PAC ID: 1951459692 Enrollment ID: I20180320000002 |
| Provider Name | Lucy N Lapoint |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104321983 PECOS PAC ID: 3779848536 Enrollment ID: I20180525001143 |
| Provider Name | Georgia Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467935288 PECOS PAC ID: 9830433176 Enrollment ID: I20181127003358 |
| Provider Name | Cassie Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063989317 PECOS PAC ID: 8527309954 Enrollment ID: I20190411000381 |
| Provider Name | Rachael Wills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841853728 PECOS PAC ID: 0840526323 Enrollment ID: I20190722000750 |
| Provider Name | Jessica Michelle Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760037733 PECOS PAC ID: 0345571303 Enrollment ID: I20191007001843 |
| Provider Name | Thomas Joseph Maino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659323640 PECOS PAC ID: 2668403460 Enrollment ID: I20200115001309 |
| Provider Name | Ann Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104270651 PECOS PAC ID: 8224328588 Enrollment ID: I20200908002103 |
| Provider Name | Christine H Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568740835 PECOS PAC ID: 1254502438 Enrollment ID: I20201006002426 |
| Provider Name | Lauren Virginia Lamendola |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134726052 PECOS PAC ID: 6305256702 Enrollment ID: I20201112002518 |
| Provider Name | Michael Majetic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629577119 PECOS PAC ID: 3678834538 Enrollment ID: I20201116000989 |
| Provider Name | Scott Brandon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235735499 PECOS PAC ID: 0749696680 Enrollment ID: I20210301002386 |
| Provider Name | Michael Haven |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144836461 PECOS PAC ID: 6002211539 Enrollment ID: I20210823000922 |
| Provider Name | Sarah Ferrese |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497191175 PECOS PAC ID: 7618110230 Enrollment ID: I20220111001375 |
| Provider Name | Chasidy Lynn Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235755984 PECOS PAC ID: 7719372689 Enrollment ID: I20220314000168 |
| Provider Name | Lachelsie N Thomas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689345076 PECOS PAC ID: 8325434137 Enrollment ID: I20220404002456 |
| Provider Name | Ashley N Ehlers-isenhower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568131050 PECOS PAC ID: 0143603480 Enrollment ID: I20220818001630 |
| Provider Name | Christopher Koke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386958080 PECOS PAC ID: 1658527577 Enrollment ID: I20221207001498 |
| Provider Name | Stephanie B Xavier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578284311 PECOS PAC ID: 4486023538 Enrollment ID: I20221212001562 |
| Provider Name | Kylie Margaret Schuck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013629872 PECOS PAC ID: 5799141578 Enrollment ID: I20230522000433 |
| Provider Name | Karishma Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932897956 PECOS PAC ID: 3274993159 Enrollment ID: I20230725000147 |
| Provider Name | Rachel Michelle Friend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235829540 PECOS PAC ID: 0749642023 Enrollment ID: I20230817004189 |
| Provider Name | Aniko Sztankovics Feldman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396425161 PECOS PAC ID: 4385007491 Enrollment ID: I20230822003842 |
| Provider Name | Brianna Blanton Duggar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306491907 PECOS PAC ID: 0547615346 Enrollment ID: I20231014000363 |
| Provider Name | Sarah Harlan Zourzoukis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912604380 PECOS PAC ID: 7911355714 Enrollment ID: I20231204002156 |
| Provider Name | Emily Caroline Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326815291 PECOS PAC ID: 7517301351 Enrollment ID: I20240220001872 |
| Provider Name | Ludny Charles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750958096 PECOS PAC ID: 0345646980 Enrollment ID: I20240909004660 |
| Provider Name | Briana Luxem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396578183 PECOS PAC ID: 4789116559 Enrollment ID: I20241017002726 |
| Provider Name | Jin Hope Ayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801615711 PECOS PAC ID: 5092248914 Enrollment ID: I20241031000845 |
| Provider Name | Susan Anne Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053382267 PECOS PAC ID: 7315969482 Enrollment ID: I20250220000552 |
| Provider Name | Emily Outen Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215579040 PECOS PAC ID: 1355861311 Enrollment ID: I20250220001157 |
| Provider Name | Kayce Marie Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821649989 PECOS PAC ID: 7416479878 Enrollment ID: I20250314003171 |
| Provider Name | Harley Addison Kennington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366269797 PECOS PAC ID: 7315446481 Enrollment ID: I20250815002551 |
Palmetto Primary Care Physicians, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2097 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-572-7727 Fax: 843-569-5881 |
MUSC Physicians Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2067 Charlie Hall Blvd, Charleston, SC 29414 Phone: 843-573-2535 |
Roper St. Francis Hospitalist Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-724-2450 Fax: 843-724-2455 |
Novant Health West Ashley Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10b Farmfield Ave, Charleston, SC 29407 Phone: 854-287-3135 Fax: 854-287-3136 |
Harold R Nicolette, DO, PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Carriage Ln, Suite B, Charleston, SC 29407 Phone: 843-766-4100 Fax: 843-571-4177 |
Empowerme Medical Group, PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2333 Ashley River Rd, Charleston, SC 29414 Phone: 877-367-9772 |