PANAM COASTAL HEALTH CARE PA
NPI 1366309122
Internal Medicine in Bluffton, SC

Active since January 05, 2026CLIA 42D2341724 · Waiver
12 ARLEY WAY STE 101, BLUFFTON, SC 29910(954) 865-6144 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 11, 2026, Jan 5, 2026 (2 updates tracked since 2026).

About Panam Coastal Health Care Pa NPPES

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

PANAM COASTAL HEALTH CARE PA (NPI 1366309122) is a healthcare organization registered as an internal medicine in Bluffton, South Carolina and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Juan Carlos Rondon, President, as its authorized official.

NPPES Registry Identity

NPI1366309122
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePANAM COASTAL HEALTH CARE PA
Location Address12 ARLEY WAY STE 101Bluffton, SC 29910-8860
Mailing Address12 Arley Way Ste 101Bluffton, SC 29910-8860 · (954) 865-6144
Organization SubpartNo
Authorized OfficialJuan Carlos RondonPresident · (954) 865-6144
Enumeration DateJanuary 5, 2026
Last NPPES UpdateMarch 11, 20262 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1366309122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
12 ARLEY WAY STE 101, Bluffton, SC 29910

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)

Panam Coastal Health Care Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Panam Coastal Health Care PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1245284181
130 3157 N UNIVERSITY DR
Hollywood, FL 33024
(954) 322-8985
✔ PECOS✔ Accepts Medicare431 mi

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

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 42D2341724

Panam Coastal Healthcare, PA · Bluffton, SC
Active · expires Apr 6, 2028
CLIA Number42D2341724
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorJuan C. Rondon
Laboratory Phone(843) 949-3108
Laboratory LocationPanam Coastal Healthcare, PA12 Arley Way Suite 101, Bluffton, SC 29910
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Panam Coastal Health Care PA's NPI number?

The NPI number for Panam Coastal Health Care PA is 1366309122. It was assigned to this organization in the NPPES registry on January 5, 2026.

Where is Panam Coastal Health Care PA located?

Panam Coastal Health Care PA is located at 12 Arley Way Ste 101, Bluffton, SC 29910. The listed phone number is (954) 865-6144.

What is Panam Coastal Health Care PA's specialty?

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

Is Panam Coastal Health Care PA enrolled in Medicare?

Yes. Panam Coastal Health Care PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Panam Coastal Health Care PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Panam Coastal Health Care PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Panam Coastal Health Care PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2341724) is associated with this NPI, valid through April 6, 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 Panam Coastal Health Care PA was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.