Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Orthopedics and Sports Medicine, LLC

Organization Sports Medicine (Emergency Medicine) Physician · NPI 1053568428

Southern Orthopedics and Sports Medicine, LLC is a Sports Medicine (Emergency Medicine) Physician in Mt Pleasant, South Carolina. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

851 Leonard Fulghum Blvd Ste 101
Mt Pleasant, SC 29464-3787
Phone: (843) 971-9350
Fax: (843) 971-9351
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Sports Medicine (Emergency Medicine) Physician Taxonomy 207PS0010X

Record details

NPI number1053568428
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Burtnett — Svp Of Outpatient Services, Tenet · (469) 893-2153
NPI enumeratedAugust 27, 2008
Last updated in NPPESJune 23, 2016
Mailing address851 Leonard Fulghum Blvd, Suite 101, Mt Pleasant, SC 29464-3787