COASTAL CAROLINA PHYSICIAN PRACTICES LLC (NPI# 1033216312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033216312 |
| Entity Type | Organization |
| Organization Name | COASTAL CAROLINA PHYSICIAN PRACTICES LLC |
| Practice Address |
1000 Medical Center Dr Hardeeville SC 29927-3446 |
| Practice Telephone | 8437848000 |
| Practice Fax Number | 8437848001 |
| Mailing Telephone | 8437848000 |
| Mailing Fax Number | 8437848001 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-05-26 |
| Authorized Official Name | MR. WESLEY O. JAMES (REGIONAL CFO, TENET) |
| Authorized Official Telephone | 4042655009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275735441 | Coastal Carolina Physician Practices LLC | Psychiatry & Neurology | 8 Hospital Center Blvd, Suite 110, Hilton Head, SC 29926-8700 | 2007-06-01 |
| 1174648802 | Coastal Carolina Physician Practices LLC | Otolaryngology | 1010 Medical Center Dr, Suite 210, Hardeeville, SC 29927-3447 | 2007-03-20 |
| 1487761318 | Coastal Carolina Physician Practices LLC | Psychiatry & Neurology | 29 Plantation Park Dr, Suite 204, Bluffton, SC 29910-9001 | 2006-08-24 |
| Street Address |
1000 MEDICAL CENTER DR |
| City | HARDEEVILLE |
| State | SC |
| Zip Code | 29927-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295216208 | Baby Ruth Alvarez | Nurse Practitioner | 1000 Medical Center Dr, Hardeeville, SC 29927-3446 | 2018-08-27 |
| 1538610795 | Coastal Emergency Group, PC | Physician Assistant | 1000 Medical Center Dr, Hardeeville, SC 29927-3446 | 2016-10-21 |
| 1881067213 | Kasie Alison Moore | Nurse Practitioner | 1000 Medical Center Dr, Hardeeville, SC 29927-3446 | 2015-11-06 |
| 1821365081 | Hardeeville Hospitalists, LLC | Hospitalist | 1000 Medical Center Dr, Hardeeville, SC 29927-3446 | 2011-11-16 |
| 1265735286 | Megan Meade Hughes | Physician Assistant | 1000 Medical Center Dr, Hardeeville, SC 29927-3446 | 2010-12-14 |
| 1265680391 | Hilton Head Emergency Physicians, Inc. | Emergency Medicine | 1000 Medical Center Dr, Hardeeville, SC 29927-3446 | 2008-09-03 |
| 1740444967 | Coastal Carolina Medical Center, Inc. | Emergency Medicine | 1000 Medical Center Dr, Hardeeville, SC 29927-3446 | 2008-07-16 |
| 1770744989 | Glenn Banegura | Hospitalist | 1000 Medical Center Dr, Hardeeville, SC 29927-3446 | 2008-06-19 |
| 1760662464 | Kidney Specialists of Savannah PC | Internal Medicine | 1000 Medical Center Dr, Hardeeville, SC 29927-3446 | 2007-11-09 |
| 1982815825 | Ashley Secrest Sutherland | Emergency Medicine | 1000 Medical Center Dr, Hardeeville, SC 29927-3446 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508305087 | Watauga Recovery Center,pc | Family Medicine | 21563 Whyte Hardee Blvd, Hardeeville, SC 29927 | 2017-02-17 |
| 1730546755 | Sara Silva | Counselor | 290 New River Parkway, Hardeville, SC 29927 | 2016-01-21 |
| 1952727992 | Genesis Foot & Leg Specialists, LLC | Podiatrist | 21563 Wyhte Hardee Blvd, Hardeeville, SC 29927 | 2014-03-14 |
| 1407283757 | Jann Denoncour | Occupational Therapist | 150 Hurricane Alley, Hardeeville, SC 29927 | 2013-10-02 |
| 1255609871 | Freds Stores of Tennessee Inc. | Pharmacy | 21361 Whyte Hardee Blvd., Hardeeville, SC 29927 | 2011-12-09 |
| 1538316575 | Coastal Carolina Medical Center Inc | Emergency Medicine | 1000 Medical Drive, Hardeeville, SC 29927 | 2008-08-21 |
| 1548350937 | Robert Leroy Irby | Pharmacist | 522 Stiney Rd, Hardeeville, SC 29927 | 2006-10-13 |
| 1467466300 | B-j-h Comp. Health Services | Pharmacy | 552 Stiney Rd, Hardeeville, SC 29927 | 2006-07-28 |
| 1720006554 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4400 Highway 278, Hardeeville, SC 29927 | 2006-07-18 |
| 1891737961 | Peter Frank | Family Medicine | 21563 A Whyte Hardee Blvd, Hardeeville, SC 29927 | 2006-06-12 |
| Find all providers in zip 29927 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285259374 | Brian Fabian Saway | Neurological Surgery | 96 Jonathan Lucas St Rm 301, Charleston, SC 29425-8900 | 2020-06-15 |
| 1548819170 | Carolina Neurosurgery & Spine Associates Pa | Neurological Surgery | 937 Riverwalk Pkwy Ste 101, Rock Hill, SC 29730-0179 | 2019-09-06 |
| 1487909081 | Lexington County Health Services District, Inc. | Neurological Surgery | 146 East Hospital Dr, Ste 120a, West Columbia, SC 29169 | 2012-07-19 |
| 1497016778 | Adam R Mathes | Neurological Surgery | Piedmont Spine and Neurosurgical Group, 3 St. Francis Drive, Ste 490, Greenville, SC 29601-3973 | 2012-06-04 |
| 1427358951 | The Neurological Institute of Savannah & Center for Spine P C | Neurological Surgery | 12b Arley Way Ste 103, Bluffton, SC 29910-8860 | 2010-11-01 |
| 1104142223 | Malcolm Daniel Eggart | Neurological Surgery | 4040 Highway 17 Ste 306, Murrells Inlet, SC 29576-5098 | 2010-04-14 |
| 1780917518 | Roper Saint Francis Physicians Network | Neurological Surgery | 56 Persimmons St, Suite C, Bluffton, SC 29910-7641 | 2009-09-11 |
| 1417198573 | Edward Bernard Byrd | Neurological Surgery | 2735 Royal Trace Ln, Mt Pleasant, SC 29466-8124 | 2009-03-18 |
| 1720205016 | Sharon Woods Webb | Neurological Surgery | 3 Saint Francis Dr Ste 490, Greenville, SC 29601-3973 | 2007-04-19 |
| 1841350451 | Clarendon Memorial Hospital | Neurological Surgery | 20 Hospital St, Manning, SC 29102 | 2006-12-12 |
| Find all providers with the same taxonomy | ||||
| City | HARDEEVILLE |
| Zip Code | 29927 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.