COASTAL PRIMARY CARE
NPI 1174786339
Family Medicine in Hardeeville, SC
NPI Status: Active since July 08, 2008
Contact Information
1010 MEDICAL CENTER DR
SUITE 240
HARDEEVILLE, SC
ZIP 29927
Phone: (843) 784-8300
Fax: (843) 784-8304
- Organization
- Family Medicine
- CLIA Number: 42D1039077
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 05-22-2026
About COASTAL PRIMARY CARE
This page provides the complete NPI Profile along with additional information for Coastal Primary Care, a primary care provider established in Hardeeville, South Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1174786339 assigned on July 2008. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Coastal Primary Care. The authorized official of this NPI record is Jeff White (Svp/cfo)
- NPI
- 1174786339
- Provider Legal Name
- BEAUFORT MEMORIAL HOSPITAL
- Other Organization Name
- COASTAL PRIMARY CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1010 MEDICAL CENTER DR SUITE 240 HARDEEVILLE, SC 29927
- Location Phone
- (843) 784-8300
- Location Fax
- (843) 784-8304
- Mailing Address
- 989 RIBAUT RD SUITE 260 BEAUFORT, SC 29902
- Mailing Phone
- (843) 522-7600
- Mailing Fax
- (843) 784-8304
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-08-2008
- Last Update Date
- 07-09-2008
- Code Navigator
A primary care provider (PCP) like Coastal Primary Care sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| GP2570 | MEDICAID (05) | SC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D1039077
- Facility Type
- Community Clinic
- Certificate Effective Date
- April 04, 2005
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- ASHLEY CROSS
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Coastal Primary Care on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for COASTAL PRIMARY CARE
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 7 | 4 | 7 | 8 | 6 | 3 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 14 | 8 | 12 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 4 + 8 + 1 + 2 + 3 + 6 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1174786339 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114167707 | KIDNEY SPECIALISTS OF SOUTHEAST GEORGIA, INC Organization | Internal Medicine (Nephrology) | 1010 MEDICAL CENTER DR SUITE 210 HARDEEVILLE, SC 29927 (912) 356-5643 |
| 1528365111 | SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC Organization | Internal Medicine (Pulmonary Disease) | 1010 MEDICAL CENTER DR SUITE 100 HARDEEVILLE, SC 29927 (843) 208-3584 |
| 1316219686 | COSTRINI & MEADOWS, PC Organization | Internal Medicine (Pulmonary Disease) | 1010 MEDICAL CENTER DR SUITE 100 HARDEEVILLE, SC 29927 (912) 927-6270 |
| 1871870170 | HARDEEVILLE MEDICAL GROUP, LLC Organization | Internal Medicine (Gastroenterology) | 1010 MEDICAL CENTER DR SUITE 240 HARDEEVILLE, SC 29927 (843) 784-8297 |
| 1720054646 | FREDERICK E FREEMAN MD Individual | Otolaryngology | 1010 MEDICAL CENTER DR SUITE 210 HARDEEVILLE, SC 29927 (843) 784-8297 |
| 1336336908 | NANCY C HARRIS FNP Individual | Nurse Practitioner (Family) | 1010 MEDICAL CENTER DR SUITE D HARDEEVILLE, SC 29927 (843) 784-8293 |
| 1558426361 | HOWARD S FREILICH MD Individual | Internal Medicine (Gastroenterology) | 1010 MEDICAL CENTER DR SUITE 210 HARDEEVILLE, SC 29927 (843) 645-8220 |
| 1417315771 | HARDEEVILLE MEDICAL GROUP, LLC Organization | Internal Medicine (Gastroenterology) | 1010 MEDICAL CENTER DR SUITE 210 HARDEEVILLE, SC 29927 (843) 645-8220 |
| 1124161682 | COASTAL CAROLINA UROLOGY GROUP LLC Organization | Urology | 1010 MEDICAL CENTER DR SUITE 100 HARDEEVILLE, SC 29927 (843) 342-7607 |
| 1174648802 | COASTAL CAROLINA PHYSICIAN PRACTICES LLC Organization | Otolaryngology | 1010 MEDICAL CENTER DR SUITE 210 HARDEEVILLE, SC 29927 (843) 784-7160 |
| 1144526500 | COASTAL CAROLINA MEDICAL CENTER, INC. Organization | Clinic/Center (Rural Health) | 1010 MEDICAL CENTER DR SUITE 240 HARDEEVILLE, SC 29927 (843) 784-8293 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174786339, enumerated in the NPI registry as an "organization" on July 08, 2008
The provider is located at 1010 Medical Center Dr Suite 240 Hardeeville, Sc 29927 and the phone number is (843) 784-8300
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 42D1039077 for a "community clinic" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on July 08, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.