The Breast Place LLC
NPI 1629352398 · Surgery Physician · North Charleston, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
The Breast Place LLC is a Surgery Physician organization in North Charleston, SC (NPI 1629352398).
Provider details
- NPI number
- 1629352398
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Beatty, Owner(843) 797-1941
- License
- DO910 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- The Breast Place
Additional practice locations (1)
- 2910 Tricom StSuite 201North Charleston, SC 29406-9350Phone: (843) 797-1941
Registry dates
- Enumerated
- 2011-09-29
- Last updated
- 2019-06-25
Frequently asked questions
- What is The Breast Place LLC's NPI number?
- The Breast Place LLC's National Provider Identifier (NPI) is 1629352398, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Breast Place LLC?
- The Breast Place LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is The Breast Place LLC located?
- The Breast Place LLC's practice location on file with NPPES is 4975 Lacross Rd Ste 110, North Charleston, SC 29406.
- What is The Breast Place LLC's phone number?
- The practice phone number listed in the NPPES registry for The Breast Place LLC is (843) 797-1941.
- Does The Breast Place LLC accept Medicare?
- The Breast Place LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for The Breast Place LLC?
- The authorized official listed on The Breast Place LLC's NPPES record is Jennifer Beatty, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Breast Place LLC's NPI active?
- Yes — The Breast Place LLC's NPI (1629352398) is active in the NPPES registry as of the last update on 2019-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.