ATLANTIC UROLOGY CLINIC LLC
NPI 1346645306
Surgery in Myrtle Beach, SC

NPI Status: Active since November 03, 2014

Contact Information

199 VILLAGE CENTER BLVD
SUITE 100
MYRTLE BEACH, SC
ZIP 29579
Phone: (843) 236-4330
Fax: (843) 236-5253

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  • Organization
  • Surgery
  • CLIA Number: 42D2076549
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-07-2027

About ATLANTIC UROLOGY CLINIC LLC

This page provides the complete NPI Profile along with additional information for Atlantic Urology Clinic Llc, a provider established in Myrtle Beach, South Carolina operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1346645306 assigned on November 2014. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Kim Commins (President)

NPI
1346645306
Provider Name
ATLANTIC UROLOGY CLINIC LLC
Entity Type
Organization
Location Address
199 VILLAGE CENTER BLVD SUITE 100 MYRTLE BEACH, SC 29579
Location Phone
(843) 236-4330
Location Fax
(843) 236-5253
Mailing Address
2270 COLONIAL BLVD FORT MYERS, FL 33907
Mailing Phone
(239) 931-7342
Mailing Fax
(843) 236-5253
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-03-2014
Last Update Date
07-29-2019
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A surgeon like Atlantic Urology Clinic Llc treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

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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

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

KIM COMMINS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(239) 931-7277

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
42D2076549
Facility Type
Physician Office
Certificate Effective Date
September 08, 2025
Certificate Expiration Date
September 07, 2027
Laboratory Director
DR. CALEB SCOTT
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Atlantic Urology Clinic Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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 1346645306, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
3
Unchanged
Pos 3
4
Doubled → 8
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
6
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 4 → 8 6 → 12 → 3 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 8 + 6 + 1 + 2 + 4 + 1 + 0 + 3 + 0 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1346645306.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Radiology)
199 VILLAGE CENTER BLVD, SUITE 110
MYRTLE BEACH, SC 29579
Radiology (Diagnostic Radiology)
199 VILLAGE CENTER BLVD, SUITE 110
MYRTLE BEACH, SC 29579
Obstetrics & Gynecology (Gynecologic Oncology)
199 VILLAGE CENTER BLVD, SUITE 100
MYRTLE BEACH, SC 29579

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346645306, enumerated as an "organization" on November 03, 2014.

The provider is located at 199 VILLAGE CENTER BLVD SUITE 100 MYRTLE BEACH, SC 29579 and the phone number is (843) 236-4330.

Surgery with taxonomy code 208600000X.