COASTAL CAROLINA UROLOGY GROUP, LLC
NPI 1528101664
Urology in Beaufort, SC
NPI Status: Active since February 15, 2007
Contact Information
1055 RIBAUT RD
SUITE 10
BEAUFORT, SC
ZIP 29902
Phone: (843) 524-7607
Fax: (843) 524-6737
- Organization
- Urology
- CLIA Number: 42D0970056
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-01-2026
About COASTAL CAROLINA UROLOGY GROUP, LLC
This page provides the complete NPI Profile along with additional information for Coastal Carolina Urology Group, Llc, a provider established in Beaufort, South Carolina operating as a Urology. The healthcare provider is registered in the NPI registry with number 1528101664 assigned on February 2007. The practitioner's primary taxonomy code is 208800000X with license number 200011 (SC). The provider is registered as an organization and their NPI record was last updated 10 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 authorized official of this NPI record is Tammy Sue Howe (Billing Supervisor)
- NPI
- 1528101664
- Provider Name
- COASTAL CAROLINA UROLOGY GROUP, LLC
- Entity Type
- Organization
- Location Address
- 1055 RIBAUT RD SUITE 10 BEAUFORT, SC 29902
- Location Phone
- (843) 524-7607
- Location Fax
- (843) 524-6737
- Mailing Address
- PO BOX 440007 NASHVILLE, TN 37244
- Mailing Phone
- (888) 482-4871
- Mailing Fax
- (843) 524-6737
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-15-2007
- Last Update Date
- 03-31-2015
- Code Navigator
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
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 200011
- License State
- SC
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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.
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 |
|---|---|---|---|
| 6618 | MEDICARE PIN (08) | SC | |
| CG7000 | OTHER (01) | SC | RR MEDICARE |
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
- 42D0970056
- Facility Type
- Physician Office
- Certificate Effective Date
- February 02, 2024
- Certificate Expiration Date
- February 01, 2026
- Laboratory Director
- DR. LOUIS PLZAK
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Coastal Carolina Urology Group, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 | 5 | 2 | 8 | 1 | 0 | 1 | 6 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 2 | 0 | 2 | 6 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 2 + 0 + 2 + 6 + 1 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1528101664 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1750385274 | INTERNAL MEDICINE HEALTHCARE, P.A. Organization | Internal Medicine | 1055 RIBAUT RD STE 10 BEAUFORT, SC 29902 (843) 524-2100 |
| 1174595961 | DR. HOLTON TIMBERLAKE PEARCE JR. MD Individual | Surgery | 1055 RIBAUT RD STE 30 BEAUFORT, SC 29902 (843) 524-8171 |
| 1780656595 | DR. EDWARD PERRY BURRUS III MD Individual | Surgery | 1055 RIBAUT RD STE 30 BEAUFORT, SC 29902 (843) 524-8171 |
| 1538132931 | DR. JAMES CHADWICK TOBER MD Individual | Surgery (Vascular Surgery) | 1055 RIBAUT RD STE 30 BEAUFORT, SC 29902 (843) 524-8171 |
| 1811960214 | DR. RONALD S WISE MD Individual | Surgery | 1055 RIBAUT RD STE 30 BEAUFORT, SC 29902 (843) 524-8171 |
| 1821062423 | DR. GORDON E KRUEGER MD Individual | Surgery | 1055 RIBAUT RD STE 30 BEAUFORT, SC 29902 (843) 524-8171 |
| 1881768430 | LOUIS F PLZAK III MD Individual | Urology | 1055 RIBAUT RD SUITE 10 BEAUFORT, SC 29902 (843) 524-7607 |
| 1659446219 | PRIMECARE HEALTH CENTER PA Organization | Specialist | 1055 RIBAUT RD SUITE 10 BEAUFORT, SC 29902 (843) 524-2100 |
| 1477612703 | COASTAL CAROLINA UROLOGY GROUP LLC Organization | Urology | 1055 RIBAUT RD SUITE 10 BEAUFORT, SC 29902 (843) 524-7607 |
| 1972906626 | NANCY ELIZABETH THOMAS PA-C Individual | Physician Assistant (Surgical) | 1055 RIBAUT RD BEAUFORT, SC 29902 (843) 524-8171 |
| 1962948679 | CAMERON PAIGE PRICE PA-C Individual | Physician Assistant | 1055 RIBAUT RD SUITE 30 BEAUFORT, SC 29902 (843) 524-8171 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528101664, enumerated in the NPI registry as an "organization" on February 15, 2007
The provider is located at 1055 Ribaut Rd Suite 10 Beaufort, Sc 29902 and the phone number is (843) 524-7607
This medical organization specializes in Urology with taxonomy code 208800000X
The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 42D0970056 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on February 15, 2007. 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].
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