COASTAL CAROLINA MULTISPECIALTY ASSOCS, LLC
NPI 1184730749
Specialist in North Charleston, SC

NPI Status: Active since August 23, 2006

Contact Information

9221 UNIVERSITY BLVD
SUITE 102
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 576-0700
Fax: (843) 576-0701

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  • Organization
  • Specialist
  • CLIA Number: 42D2177951
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-21-2026

About COASTAL CAROLINA MULTISPECIALTY ASSOCS, LLC

This page provides the complete NPI Profile along with additional information for Coastal Carolina Multispecialty Assocs, Llc, a provider established in North Charleston, South Carolina operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1184730749 assigned on August 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. Coastal Carolina Multispecialty Assocs, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mark Pickett (Vice-president Of Operations)

NPI
1184730749
Provider Name
COASTAL CAROLINA MULTISPECIALTY ASSOCS, LLC
Entity Type
Organization
Location Address
9221 UNIVERSITY BLVD SUITE 102 NORTH CHARLESTON, SC 29406
Location Phone
(843) 576-0700
Location Fax
(843) 576-0701
Mailing Address
9221 UNIVERSITY BLVD SUITE 102 NORTH CHARLESTON, SC 29406
Mailing Phone
(843) 576-0700
Mailing Fax
(843) 576-0701
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-23-2006
Last Update Date
10-31-2007
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARK PICKETT

Authorized Official Title
VICE-PRESIDENT OF OPERATIONS
Authorized Official Phone
(678) 762-5037

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
8566MEDICARE PIN (08)SC 
GP 4508MEDICAID (05)SC 

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
42D2177951
Facility Type
Physician Office
Certificate Effective Date
January 22, 2024
Certificate Expiration Date
January 21, 2026
Laboratory Director
COURTNEY BAILEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Coastal Carolina Multispecialty Assocs, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1184730749, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
4
Doubled → 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 7 → 14 → 5 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 6 + 4 + 1 + 4 + 3 + 0 + 7 + 8 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1184730749.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
9221 UNIVERSITY BLVD, SUITE 2E
N CHARLESTON, SC 29406
Dentist (Oral and Maxillofacial Surgery)
9221 UNIVERSITY BLVD, BUILDING D SUITE 1A
NORTH CHARLESTON, SC 29406
Physician Assistant (Medical)
9221 UNIVERSITY BLVD, SUITE 2E
NORTH CHARLESTON, SC 29406
Obstetrics & Gynecology
9221 UNIVERSITY BLVD, SUITE 2E
NORTH CHARLESTON, SC 29406
Physician Assistant
9221 UNIVERSITY BLVD, SUITE 2 E
NORTH CHARLESTON, SC 29406
Dentist (Oral and Maxillofacial Surgery)
9221 UNIVERSITY BLVD, BUILDING D, SUITE 1-A
NORTH CHARLESTON, SC 29406
Dentist (Oral and Maxillofacial Surgery)
9221 UNIVERSITY BLVD, BUILDING D, SUITE 1-A
NORTH CHARLESTON, SC 29406
Internal Medicine (Cardiovascular Disease)
9221 UNIVERSITY BLVD, SUITE 102
NORTH CHARLESTON, SC 29406
Internal Medicine (Gastroenterology)
9221 UNIVERSITY BLVD, STE. 310
NORTH CHARLESTON, SC 29406

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184730749, enumerated as an "organization" on August 23, 2006.

The provider is located at 9221 UNIVERSITY BLVD SUITE 102 NORTH CHARLESTON, SC 29406 and the phone number is (843) 576-0700.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.