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COASTAL PLAINS PHYSICIAN ASSOCIATES
NPI 1316992506
Radiology - Diagnostic Radiology in Varnville, SC

Active since May 24, 2006CLIA 42D1004850 · Waiver
595 W CAROLINA AVE, VARNVILLE, SC 29944(803) 943-1239(803) 943-1240 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastal Plains Physician Associates NPPES

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

COASTAL PLAINS PHYSICIAN ASSOCIATES (NPI 1316992506) is a healthcare organization registered as a diagnostic radiology in Varnville, South Carolina and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through October 7, 2026 and lists Dave Hamill, Ceo, as its authorized official.

NPPES Registry Identity

NPI1316992506
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameCOASTAL PLAINS PHYSICIAN ASSOCIATES
Location Address595 W CAROLINA AVEVarnville, SC 29944-4735
Mailing Address595 W Carolina Ave, Po Box 988Varnville, SC 29944-4735 · (803) 943-1239 · Fax (803) 943-1240
Phone(803) 943-1239
Fax(803) 943-1240
Organization SubpartNo
Authorized OfficialDave HamillCeo · (803) 943-1251
Enumeration DateMay 24, 2006
Last NPPES UpdateMay 30, 2023
NPPES CertifiedMay 30, 2023
✔ NPI 1316992506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in SC · 25030796-6
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25030796-6 (SC)
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X · License 25030796-6 (SC)
Also ListedSurgeryTaxonomy 208600000X · License 25030796-6 (SC)
595 W CAROLINA AVE, Varnville, SC 29944
Open in Google Maps ↗

Other Identifiers 1

MedicaidGP3207SC

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 42D1004850

Coastal Plains Physician Associates Specialty & Surgery Center · Varnville, SC
Active · expires Oct 7, 2026
CLIA Number42D1004850
Laboratory TypePhysician Office
Certificate Effective DateOctober 8, 2024
Certificate Expiration DateOctober 7, 2026
Laboratory DirectorCarlos A. Cordero
Laboratory Phone(803) 943-1230
Laboratory LocationCoastal Plains Physician Associates Specialty & Surgery Center595 W Carolina Ave, Varnville, SC 29944
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

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

ROPER SAINT FRANCIS PHYSICIANS NETWORK
Internal Medicine (Hematology & Oncology)
595 W CAROLINA AVE
VARNVILLE, SC 29944
Hampton County (843) 958-2606
JENNA GOSSETT
Nurse Practitioner (Family)
595 W CAROLINA AVE
VARNVILLE, SC 29944
Hampton County (843) 991-9892
HAMPTON REGIONAL MEDICAL CENTER
Family Medicine
595 W CAROLINA AVE
VARNVILLE, SC 29944
Hampton County (803) 943-7612
BRENDA L POALILLO APRN
Nurse Practitioner (Family)
595 W CAROLINA AVE
VARNVILLE, SC 29944
Hampton County (803) 943-1217
SARAH TUTEN M.S., R.D., L.D.
Dietitian, Registered
595 W CAROLINA AVE
VARNVILLE, SC 29944
Hampton County (803) 943-1290
MELANIE WIDENER BRANT NP
Nurse Practitioner (Family)
595 W CAROLINA AVE
VARNVILLE, SC 29944
Hampton County (803) 943-2771
EMILY GRACE MARTIN RD, LD
Dietitian, Registered
595 W CAROLINA AVE
VARNVILLE, SC 29944
Hampton County (803) 943-2771
STEVEN E GOLDBERG MD
Internal Medicine (Cardiovascular Disease)
595 W CAROLINA AVE
VARNVILLE, SC 29944
Hampton County (803) 943-7600

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 Plains Physician Associates's NPI number?

The NPI number for Coastal Plains Physician Associates is 1316992506. It was assigned to this organization in the NPPES registry on May 24, 2006.

Where is Coastal Plains Physician Associates located?

Coastal Plains Physician Associates is located at 595 W Carolina Ave, Varnville, SC 29944. The listed phone number is (803) 943-1239.

What is Coastal Plains Physician Associates's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Does Coastal Plains Physician Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1004850) is associated with this NPI, valid through October 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coastal Plains Physician Associates accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Coastal Plains Physician Associates 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 Plains Physician Associates was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.