COASTAL CAROLINA PRIMARY CARE, LLC
NPI 1164783643
Clinic/Center - Rural Health in Moncks Corner, SC

Q: What is Coastal Carolina Primary Care, LLC's NPI number?

The NPI number for Coastal Carolina Primary Care, LLC is 1164783643. It was assigned to this organization in the NPPES registry on May 31, 2012.

Q: What is Coastal Carolina Primary Care, LLC's specialty?

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

Active since May 31, 2012

106 W MAIN ST, MONCKS CORNER, SC 29461(843) 761-1995 Get Directions Write a Review

NPPES record last updated: May 31, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Coastal Carolina Primary Care, Llc NPPES

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

COASTAL CAROLINA PRIMARY CARE, LLC (NPI 1164783643) is a healthcare organization registered as a rural health in Moncks Corner, South Carolina and active in the NPI registry since May 2012. The organization lists Wayne O Whinney, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1164783643

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameCOASTAL CAROLINA PRIMARY CARE, LLC

Location Address106 W MAIN STMoncks Corner, SC 29461-2601

Mailing Address106 W Main StMoncks Corner, SC 29461-2601 · (843) 761-1995

Phone(843) 761-1995

Organization SubpartNo

Authorized OfficialWayne O WhinneyAuthorized Official · (843) 856-7924

Enumeration DateMay 31, 2012

✔ NPI 1164783643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

106 W MAIN ST, Moncks Corner, SC 29461

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BERKELEY MEDICAL CENTER, LLC

Internal Medicine

106 W MAIN ST
MONCKS CORNER, SC 29461

Berkeley County (843) 761-1995

ROSE DELORES GIBBS MD

Internal Medicine

106 W MAIN ST
MONCKS CORNER, SC 29461

Berkeley County (843) 761-1995

FETTER HEALTH CARE NETWORK, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

106 W MAIN ST
MONCKS CORNER, SC 29461

Berkeley County (843) 761-1995

MS. MICHELLE LOUISE DAVIS FNP

Nurse Practitioner (Family)

106 W MAIN ST
MONCKS CORNER, SC 29461

Berkeley County (843) 761-1995

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 Primary Care, LLC's NPI number?

The NPI number for Coastal Carolina Primary Care, LLC is 1164783643. It was assigned to this organization in the NPPES registry on May 31, 2012.

Where is Coastal Carolina Primary Care, LLC located?

Coastal Carolina Primary Care, LLC is located at 106 W Main St, Moncks Corner, SC 29461. The listed phone number is (843) 761-1995.

What is Coastal Carolina Primary Care, LLC'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 Primary Care, LLC was last updated on May 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.