Healthcare Provider Details

I. General information

NPI: 1609273549
Provider Name (Legal Business Name): HOUSECALLS-MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2014
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 TRADITION CIR
MT PLEASANT SC
29466-7200
US

IV. Provider business mailing address

3100 TRADITION CIR
MT PLEASANT SC
29466-7200
US

V. Phone/Fax

Practice location:
  • Phone: 843-501-2031
  • Fax: 843-884-6146
Mailing address:
  • Phone: 843-501-2031
  • Fax: 843-884-6146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberSC35609
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License NumberSC35609
License Number StateSC
# 4
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberSC1314
License Number StateSC

VIII. Authorized Official

Name: DR. STELA SUSAC-PAVIC
Title or Position: MD/OWNER
Credential: MD
Phone: 843-501-2031