1. Home
  2. Directory
  3. South Carolina
  4. Ridgeland
  5. Clinic Center
  6. NPI Profile

COASTAL MEDICAL ASSOCIATES
NPI 1124307509
Clinic/Center - Rural Health in Ridgeland, SC

Active since August 16, 2011
10911 N JACOB SMART BLVD, D, RIDGELAND, SC 29936(843) 784-3101(843) 784-5313 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coastal Medical Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL MEDICAL ASSOCIATES (NPI 1124307509) is a healthcare organization registered as a rural health in Ridgeland, South Carolina and active in the NPI registry since August 2011. The organization lists Ron Groteluschen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1124307509
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCOASTAL CAROLINA MEDICAL CENTER, INC
Location Address10911 N JACOB SMART BLVD, DRidgeland, SC 29936-2729
Mailing AddressPo Box 741261Atlanta, GA 30374-1261 · (843) 784-3101 · Fax (843) 784-5313
Phone(843) 784-3101
Fax(843) 784-5313
Organization SubpartNo
Authorized OfficialRon GroteluschenCfo · (843) 784-8076
Enumeration DateAugust 16, 2011
Last NPPES UpdateMarch 22, 2022
NPPES CertifiedMarch 22, 2022
✔ NPI 1124307509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
10911 N JACOB SMART BLVD, Ridgeland, SC 29936
Open in Google Maps ↗

Other Names 1

Doing Business AsCoastal Medical Associates

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 Coastal Carolina Medical Center, Inc's NPI number?

The NPI number for Coastal Carolina Medical Center, Inc is 1124307509. It was assigned to this organization in the NPPES registry on August 16, 2011. The provider is doing business as Coastal Medical Associates.

Where is Coastal Carolina Medical Center, Inc located?

Coastal Carolina Medical Center, Inc is located at 10911 N Jacob Smart Blvd D, Ridgeland, SC 29936. The listed phone number is (843) 784-3101.

What is Coastal Carolina Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Coastal Carolina Medical Center, Inc was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.