HOLY CITY HEALTHCARE CONSULTANTS, LLC
NPI 1285436683
Family Medicine in Johns Island, SC

Active since March 26, 2025
2021 BOUGANVILLIA DR, JOHNS ISLAND, SC 29455(347) 342-7810 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2025, Jun 3, 2025, Mar 26, 2025 (3 updates tracked since 2025).

About Holy City Healthcare Consultants, Llc NPPES

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

HOLY CITY HEALTHCARE CONSULTANTS, LLC (NPI 1285436683) is a healthcare organization registered as a family medicine in Johns Island, South Carolina and active in the NPI registry since March 2025. The organization lists Ralph Fontanez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285436683
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHOLY CITY HEALTHCARE CONSULTANTS, LLC
Location Address2021 BOUGANVILLIA DRJohns Island, SC 29455-3172
Mailing AddressPo Box 97Johns Island, SC 29457-0097 · (347) 342-7810
Organization SubpartNo
Authorized OfficialRalph FontanezCeo · (347) 342-7810
Enumeration DateMarch 26, 2025
Last NPPES UpdateAugust 5, 20253 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1285436683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2021 BOUGANVILLIA DR, Johns Island, SC 29455

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holy City Healthcare Consultants, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Holy City Healthcare Consultants, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Emergency Medicine
NPI 1871603068
316 CALHOUN ST
Charleston, SC 29401
(843) 724-2010
✔ PECOS✔ Accepts Medicare8.0 mi
Nurse Practitioner
NPI 1124403415
508 SHEM BUTLER CT
Charleston, SC 29414
(860) 912-2222
✔ PECOS✔ Accepts Medicare8.9 mi
Nurse Practitioner
NPI 1508289141
11 S FOREST BEACH DR APT 523
Hilton Head Island, SC 29928
(740) 601-4473
✔ PECOS✔ Accepts Medicare57 mi
Nurse Practitioner
NPI 1356796858
598 STERTHAUS DR
Ormond Beach, FL 32174
(386) 886-4433
✔ PECOS✔ Accepts Medicare244 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Holy City Healthcare Consultants, LLC's NPI number?

The NPI number for Holy City Healthcare Consultants, LLC is 1285436683. It was assigned to this organization in the NPPES registry on March 26, 2025.

Where is Holy City Healthcare Consultants, LLC located?

Holy City Healthcare Consultants, LLC is located at 2021 Bouganvillia Dr, Johns Island, SC 29455. The listed phone number is (347) 342-7810.

What is Holy City Healthcare Consultants, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Holy City Healthcare Consultants, LLC enrolled in Medicare?

Yes. Holy City Healthcare Consultants, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Holy City Healthcare Consultants, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Holy City Healthcare Consultants, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Emergency Medicine (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Holy City Healthcare Consultants, LLC was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.