COASTAL VASCULAR & VEIN CENTER PA
NPI 1548936909
Prosthetic/Orthotic Supplier in N Charleston, SC

NPI Status: Active since August 17, 2021

Contact Information

2575 ELMS CENTER RD STE 200
N CHARLESTON, SC
ZIP 29406
Phone: (843) 577-4551
Fax: (843) 577-2227

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  • Organization
  • Prosthetic/Orthotic Supplier
  • CLIA Number: 42D2090083
  • CLIA Cert. Type: Other - OUTPT CLINIC
  • CLIA Exp. Date: 01-13-2027

About COASTAL VASCULAR & VEIN CENTER PA

This page provides the complete NPI Profile along with additional information for Coastal Vascular & Vein Center Pa, a provider established in N Charleston, South Carolina operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1548936909 assigned on August 2021. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Evelyn Carter Cmp, Cpm, Chm (Chief Administrative Officer)

NPI
1548936909
Provider Name
COASTAL VASCULAR & VEIN CENTER PA
Entity Type
Organization
Location Address
2575 ELMS CENTER RD STE 200 N CHARLESTON, SC 29406
Location Phone
(843) 577-4551
Location Fax
(843) 577-2227
Mailing Address
2575 ELMS CENTER RD STE 200 N CHARLESTON, SC 29406
Mailing Phone
(843) 577-4551
Mailing Fax
(843) 577-2227
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-17-2021
Last Update Date
08-17-2021
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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

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
Taxonomy Description
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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.

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

EVELYN CARTER CMP, CPM, CHM

Authorized Official Title
CHIEF ADMINISTRATIVE OFFICER
Authorized Official Phone
(843) 300-3583

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
DE3876MEDICAID (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
42D2090083
Facility Type
Other - OUTPT CLINIC
Certificate Effective Date
January 14, 2025
Certificate Expiration Date
January 13, 2027
Laboratory Director
ADAM KEEFER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Coastal Vascular & Vein Center Pa 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 1548936909, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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
5
Unchanged
Pos 3
4
Doubled → 8
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
9
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 9 → 18 → 9 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 8 + 8 + 1 + 8 + 3 + 1 + 2 + 9 + 0 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1548936909.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Physician Assistant (Surgical)
2575 ELMS CENTER RD STE 200
NORTH CHARLESTON, SC 29406
Surgery (Vascular Surgery)
2575 ELMS CENTER RD STE 200
N CHARLESTON, SC 29406
Surgery (Vascular Surgery)
2575 ELMS CENTER RD STE 200
NORTH CHARLESTON, SC 29406
Surgery (Vascular Surgery)
2575 ELMS CENTER RD STE 200
NORTH CHARLESTON, SC 29406
Surgery (Vascular Surgery)
2575 ELMS CENTER RD STE 200
NORTH CHARLESTON, SC 29406
Surgery (Vascular Surgery)
2575 ELMS CENTER RD STE 200
NORTH CHARLESTON, SC 29406

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548936909, enumerated as an "organization" on August 17, 2021.

The provider is located at 2575 ELMS CENTER RD STE 200 N CHARLESTON, SC 29406 and the phone number is (843) 577-4551.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.