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COASTAL INTERNAL MEDICINE & GERIATRICS LLC
NPI 1265966337
Internal Medicine in Goose Creek, SC

Active since April 16, 2017CLIA 42D2130836 · Waiver
597 OLD MOUNT HOLLY RD, STE 202, GOOSE CREEK, SC 29445(843) 466-8000 Get Directions Write a Review

NPPES record last updated: April 16, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastal Internal Medicine & Geriatrics Llc NPPES

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

COASTAL INTERNAL MEDICINE & GERIATRICS LLC (NPI 1265966337) is a healthcare organization registered as an internal medicine in Goose Creek, South Carolina and active in the NPI registry since April 2017. The organization holds a CLIA Waiver certificate valid through May 17, 2027 and lists Madhavi Akkineni, Owner, as its authorized official.

NPPES Registry Identity

NPI1265966337
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOASTAL INTERNAL MEDICINE & GERIATRICS LLC
Location Address597 OLD MOUNT HOLLY RD, STE 202Goose Creek, SC 29445-2831
Mailing Address597 Old Mount Holly Rd, Ste 202Goose Creek, SC 29445-2831 · (843) 466-8000
Phone(843) 466-8000
Organization SubpartNo
Authorized OfficialMadhavi AkkineniOwner · (843) 466-8000
Enumeration DateApril 16, 2017
✔ NPI 1265966337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SC · 33988
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 33988 (SC)
597 OLD MOUNT HOLLY RD, Goose Creek, SC 29445
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2130836

Coastal Internal Medicine & Geriatrics, LLC · Goose Creek, SC
Active · expires May 17, 2027
CLIA Number42D2130836
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2025
Certificate Expiration DateMay 17, 2027
Laboratory DirectorMadhavi Akkineni
Laboratory Phone(843) 466-8000
Laboratory LocationCoastal Internal Medicine & Geriatrics, LLC597 Old Mount Holly Rd, Ste 202, Goose Creek, SC 29445
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

CANE BAY ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
597 OLD MOUNT HOLLY RD, SUITE 205
GOOSE CREEK, SC 29445
Berkeley County (843) 797-7711
MADHAVI AKKINENI M.D.
Internal Medicine
597 OLD MOUNT HOLLY RD, STE 202
GOOSE CREEK, SC 29445
Berkeley County (843) 466-8000
DR. RICHARD JOSEPH RUTECKI JR. DDS
Dentist (General Practice)
597 OLD MOUNT HOLLY RD, SUITE 109
GOOSE CREEK, SC 29445
Berkeley County (843) 569-8795
RJR DENTISTRY LLC
Dentist (General Practice)
597 OLD MOUNT HOLLY RD, SUITE 209
GOOSE CREEK, SC 29445
Berkeley County (843) 569-8795

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 Internal Medicine & Geriatrics LLC's NPI number?

The NPI number for Coastal Internal Medicine & Geriatrics LLC is 1265966337. It was assigned to this organization in the NPPES registry on April 16, 2017.

Where is Coastal Internal Medicine & Geriatrics LLC located?

Coastal Internal Medicine & Geriatrics LLC is located at 597 Old Mount Holly Rd Ste 202, Goose Creek, SC 29445. The listed phone number is (843) 466-8000.

What is Coastal Internal Medicine & Geriatrics LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Coastal Internal Medicine & Geriatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2130836) is associated with this NPI, valid through May 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coastal Internal Medicine & Geriatrics LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Coastal Internal Medicine & Geriatrics LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coastal Internal Medicine & Geriatrics LLC was last updated on April 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.