EAST COOPER PHYSICIAN GROUP LLC – NPI #1114798840
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

EAST COOPER PHYSICIAN GROUP LLC is a provider located in MOUNT PLEASANT, SC. NPPES has assigned the NPI number 1114798840 to EAST COOPER PHYSICIAN GROUP LLC on January 11, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Feb 28, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAST COOPER PHYSICIAN GROUP LLC below.

NPI Profile for
EAST COOPER PHYSICIAN GROUP LLC

NPI Number
1114798840
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EAST COOPER PHYSICIAN GROUP LLC
Primary location
570 LONG POINT RD STE 130
MOUNT PLEASANT, SC 29464-7931
Phone: (843) 884-2133 Fax: (843) 884-2868
Mailing address
PO BOX 604408
CHARLOTTE, NC 28260-4408
Phone: Fax:
Organization Subpart
No
Authorized Official
LEEA WALTON
RCS MANAGER
Phone: (704) 316-6081
Updated
Certification Date
Feb 28, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.