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UNIVERSAL PRIMARY CARE & AESTHETICS, LLC
NPI 1366078420
Nurse Practitioner - Family in Goose Creek, SC

Active since March 19, 2020CLIA 42D2260728 · Waiver
105 CENTRAL AVE STE 200A, GOOSE CREEK, SC 29445(843) 557-9808(843) 273-8144 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 15, 2021, Feb 5, 2021, Mar 19, 2020 (3 updates tracked since 2020).

About Universal Primary Care & Aesthetics, Llc NPPES

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

UNIVERSAL PRIMARY CARE & AESTHETICS, LLC (NPI 1366078420), doing business as Universal Primary Care & Aesthetics, is a healthcare organization registered as a family in Goose Creek, South Carolina and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through May 22, 2028 and lists Gutembergue Arruda Santos, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1366078420
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameUNIVERSAL PRIMARY CARE & AESTHETICS, LLC
Location Address105 CENTRAL AVE STE 200AGoose Creek, SC 29445-3084
Mailing Address105 Central Ave Ste 200aGoose Creek, SC 29445-3087 · (843) 557-9808 · Fax (843) 273-8144
Phone(843) 557-9808
Fax(843) 273-8144
Organization SubpartNo
Authorized OfficialGutembergue Arruda SantosFamily Nurse Practitioner · (843) 557-9808
Enumeration DateMarch 19, 2020
Last NPPES UpdateMarch 15, 20213 updates tracked since enumeration
NPPES CertifiedMarch 15, 2021
✔ NPI 1366078420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
105 CENTRAL AVE STE 200A, Goose Creek, SC 29445
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Other Names 1

Former Legal Business NameUniversal Primary Care & Aesthetics

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

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 42D2260728

Universal Primary Care & Aesthetics, LLC · Goose Creek, SC
Active · expires May 22, 2028
CLIA Number42D2260728
Laboratory TypePractitioner Other
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorDr. Gutembergue A. Santos
Laboratory Phone(843) 557-9808
Laboratory LocationUniversal Primary Care & Aesthetics, LLC105 Central Avenue, Suite 100 B, Goose Creek, SC 29445
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. GUTEMBERGUE ARRUDA SANTOS DNP-FNP
Nurse Practitioner (Family)
105 CENTRAL AVE STE 200A
GOOSE CREEK, SC 29445
Berkeley County (843) 557-9808

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 Universal Primary Care & Aesthetics, LLC's NPI number?

The NPI number for Universal Primary Care & Aesthetics, LLC is 1366078420. It was assigned to this organization in the NPPES registry on March 19, 2020. The provider was formerly known as Universal Primary Care & Aesthetics.

Where is Universal Primary Care & Aesthetics, LLC located?

Universal Primary Care & Aesthetics, LLC is located at 105 Central Ave Ste 200A, Goose Creek, SC 29445. The listed phone number is (843) 557-9808.

What is Universal Primary Care & Aesthetics, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Universal Primary Care & Aesthetics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2260728) is associated with this NPI, valid through May 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Universal Primary Care & Aesthetics, LLC was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.