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NPISignal

Individual Healthcare Provider

Elizabeth Hayes Mack, MD

NPI Record: ActivePediatrics — Pediatric Critical Care Medicine
NPI1073684593
Columbia, South Carolina

Provider's NPPES record last updated: September 3, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1073684593
Primary Specialty
Pediatrics — Pediatric Critical Care Medicine
Practice Location
Columbia, South Carolina
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 12:36 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pediatrics

    Pediatric Critical Care Medicine

    Allopathic & Osteopathic Physicians

    Primary

    A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

    Taxonomy code 2080P0203X
  • Pediatrics

    Allopathic & Osteopathic Physicians

    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

    Taxonomy code 208000000X
  • Hospitalist

    Allopathic & Osteopathic Physicians

    Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

    Taxonomy code 208M00000X

Provider-Reported License Information

Pediatrics (South Carolina)
24421
Pediatrics (South Carolina)
24421
Pediatrics (Ohio)
35088807
Hospitalist (South Carolina)
24421
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

9 Richland Medical Park Dr Ste 530

Columbia, South Carolina 29203-6870

Phone: (803) 434-4603

Additional Practice Location

2095 Henry Tecklenburg Dr

Charleston, South Carolina 29414-5733

Phone: (843) 402-1634

Fax: (843) 402-1550

Additional Practice Location

171 Ashley Ave

Charleston, South Carolina 29425-8908

Phone: (843) 792-1414

Record Information

Enumeration Date
November 13, 2006
Provider's NPPES Record Last Updated
September 3, 2026
Certification Date
September 3, 2026
NPISignal NPPES Dataset
August 2026

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