ATLANTIC UROLOGY CLINICS LLC
NPI 1447293790
Urology in Little River, SC
NPI Status: Active since June 14, 2006
Contact Information
3600 SEA MOUNTAIN HWY STE B
LITTLE RIVER, SC
ZIP 29566
Phone: (843) 399-9696
Fax: (843) 399-9596
- Organization
- Urology
- Accepts Insurance
- CLIA Number: 42D2238536
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-04-2027
About ATLANTIC UROLOGY CLINICS LLC
This page provides the complete NPI Profile along with additional information for Atlantic Urology Clinics Llc, a provider established in Little River, South Carolina operating as a Urology. The healthcare provider is registered in the NPI registry with number 1447293790 assigned on June 2006. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated 3 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 Shaden Marzouk Md (Us President)
- NPI
- 1447293790
- Provider Name
- ATLANTIC UROLOGY CLINICS LLC
- Entity Type
- Organization
- Location Address
- 3600 SEA MOUNTAIN HWY STE B LITTLE RIVER, SC 29566
- Location Phone
- (843) 399-9696
- Location Fax
- (843) 399-9596
- Mailing Address
- 1419 SE 8TH TER STE 200 CAPE CORAL, FL 33990
- Mailing Phone
- (239) 931-7342
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-14-2006
- Last Update Date
- 09-25-2023
- Code Navigator
Location Map
Secondary Locations
- 135 Professional Park Dr
Conway, SC 29526
(843) 347-8765
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
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Group Taxonomy 193400000X 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- First Choice Next Bronze Essential - HMO
- First Choice Next Bronze Premier - HMO
- First Choice Next Bronze Signature - HMO
- First Choice Next Gold Premier - HMO
- First Choice Next Gold Signature - HMO
- First Choice Next Silver Essential - HMO
- First Choice Next Silver Premier - HMO
- First Choice Next Silver Signature - HMO
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Core 1640 Plus with Adult Vision - HMO
- Molina Gold Standard - HMO
- Molina Gold Value - HMO
- Molina Gold Value Plus with Adult Dental and Vision - HMO
- Molina Gold Value Plus with Adult Vision - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
- Molina Silver Saver - HMO
- Molina Silver Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| GP4522 | MEDICAID (05) | SC |
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
- 42D2238536
- Facility Type
- Physician Office
- Certificate Effective Date
- October 05, 2025
- Certificate Expiration Date
- October 04, 2027
- Laboratory Director
- RICHARD KLINE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Atlantic Urology Clinics Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1447293790, we treat the final digit (0) 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 80. The final step is to find the difference between that total and the next multiple of ten (80 - 80 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 80 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
LITTLE RIVER, SC 29566
LITTLE RIVER, SC 29566
LITTLE RIVER, SC 29566
LITTLE RIVER, SC 29566
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447293790, enumerated as an "organization" on June 14, 2006.
The provider is located at 3600 SEA MOUNTAIN HWY STE B LITTLE RIVER, SC 29566 and the phone number is (843) 399-9696.
Urology with taxonomy code 208800000X.
The provider might be accepting Accepts: First Choice Next, Molina Healthcare, Medicare and. Please consult your insurance carrier or call the provider to verify.
