Healthcare Provider Details

I. General information

NPI: 1861305625
Provider Name (Legal Business Name): ABOVE & BEYOND MEDICAL CORPORATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 BELLE ISLE AVE STE 225
MT PLEASANT SC
29464-8379
US

IV. Provider business mailing address

413 S NORTHSHORE DR STE B
KNOXVILLE TN
37919-7567
US

V. Phone/Fax

Practice location:
  • Phone: 843-285-5715
  • Fax: 843-887-8279
Mailing address:
  • Phone: 865-415-2740
  • Fax: 865-415-2738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JAMES MICHAEL LOFTIS SR.
Title or Position: CEO
Credential:
Phone: 843-609-5733