JAMES ISLAND PEDIATRICS NPI 1366404725

NPI Information

NPI: 1366404725
Provider Name: JAMES ISLAND PEDIATRICS
Classification: Specialist - 174400000X
Entity Type: Organization
Other Name: DR HUTTON
CLIA Number: 42D2285154
Address: JAMES ISLAND PEDIATRICS
776 DANIEL ELLIS DR SUITE 3C
CHARLESTON, SC
ZIP 29412
Phone: (843) 795-0900

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NPI Details

JAMES ISLAND PEDIATRICS is a specialist in Charleston, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. JAMES ISLAND PEDIATRICS NPI is 1366404725. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Dr Hutton.

The provider's business location address is:

JAMES ISLAND PEDIATRICS
776 DANIEL ELLIS DR SUITE 3C
CHARLESTON, SC
ZIP 29412
Phone: (843) 795-0900
Fax: (843) 762-5495

The provider's authorized official is Martine A Hutton .
The authorized official title is President and has the following contact phone number (843) 795-0900.

The CLIA number assigned to this NPI record is 42D2285154 - ancillary testing site in health care center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/3/2006 and was last updated on 10/25/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		093375	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	SOUTH CAROLINA	TAX ID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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