COLE DATTEL
NPI 1104629534
Family Medicine in Conway, SC
About Cole Dattel NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLE DATTEL (NPI 1104629534) is an individual family medicine provider in Conway, South Carolina, licensed in South Carolina (97317) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cole Dattel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29526 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CONWAY, SC 29526
CONWAY, SC 29526
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Cole Dattel's NPI number?
The NPI number for Cole Dattel is 1104629534. It was assigned to this individual provider in the NPPES registry on March 31, 2025.
Where is Cole Dattel located?
Cole Dattel practices at 300 Singleton Ridge Rd, Conway, SC 29526. The listed phone number is (843) 347-7111.
What is Cole Dattel's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Cole Dattel enrolled in Medicare?
Yes. Cole Dattel is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Cole Dattel was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Cole Dattel · NPI 1104629534
Family Medicine physician in Conway, South Carolina. Individual provider, active in the CMS NPPES registry since March 31, 2025.
## Identity
- **NPI:** 1104629534 (Entity type: Individual)
- **Enumerated:** March 31, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 97317 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 SINGLETON RIDGE RD, Conway, SC 29526-9142
- **Phone:** (843) 347-7111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104629534) · Data from the CMS NPPES public registry.