OrganizationActive
Kingstree Surgical Associates
NPI 1962691022 · Surgery Physician · Kingstree, SC
Kingstree Surgical Associates is a Surgery Physician organization in Kingstree, SC (NPI 1962691022).
Provider details
- NPI number
- 1962691022
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Blake Moore, President(843) 355-5462
- License
- 21490 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
135 N Academy St
Kingstree, SC 29556-3421
Phone: (803) 731-8393
Street-level locationGet directions
Mailing address
135 N Academy St
Kingstree, SC 29556-3421
Registry dates
- Enumerated
- 2007-10-15
- Last updated
- 2023-03-07
Frequently asked questions
- What is Kingstree Surgical Associates's NPI number?
- Kingstree Surgical Associates's National Provider Identifier (NPI) is 1962691022, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kingstree Surgical Associates?
- Kingstree Surgical Associates is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Kingstree Surgical Associates located?
- Kingstree Surgical Associates's practice location on file with NPPES is 135 N Academy St, Kingstree, SC 29556-3421.
- What is Kingstree Surgical Associates's phone number?
- The practice phone number listed in the NPPES registry for Kingstree Surgical Associates is (803) 731-8393.
- Who is the authorized official for Kingstree Surgical Associates?
- The authorized official listed on Kingstree Surgical Associates's NPPES record is Blake Moore, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kingstree Surgical Associates's NPI active?
- Yes — Kingstree Surgical Associates's NPI (1962691022) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.