Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southern Orthopedics and Sports Medicine, LLC

Organization Sports Medicine (Emergency Medicine) Physician · NPI 1053568428

Southern Orthopedics and Sports Medicine, LLC provides Sports Medicine (Emergency Medicine) Physician services 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 Not confirmed with CMS for 10 years — call before visiting
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