COASTAL VASCULAR AND VEIN INSTITUTE LLC
NPI 1578259750
Clinic/Center - Ambulatory Surgical in Summerville, SC

Active since April 12, 2023CLIA 42D2291952 · Waiver
1229 NEXTON PKWY, SUMMERVILLE, SC 29486(843) 577-4551 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2025, Dec 12, 2023, May 23, 2023 and 1 more (4 updates tracked since 2023).

About Coastal Vascular And Vein Institute Llc NPPES

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

COASTAL VASCULAR AND VEIN INSTITUTE LLC (NPI 1578259750), doing business as Coastal Vascular And Vein Center, is a healthcare organization registered as an ambulatory surgical in Summerville, South Carolina and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through October 17, 2027 and lists Craig Kilgore, Ceo, as its authorized official.

NPPES Registry Identity

NPI1578259750
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCOASTAL VASCULAR AND VEIN INSTITUTE LLC
Location Address1229 NEXTON PKWYSummerville, SC 29486-2167
Mailing Address1327 Ashley River RdCharleston, SC 29407-5384 · (843) 577-4551
Organization SubpartNo
Authorized OfficialCraig KilgoreCeo · (423) 646-1033
Enumeration DateApril 12, 2023
Last NPPES UpdateNovember 19, 20254 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
NPI 1578259750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
1229 NEXTON PKWY, Summerville, SC 29486

Other Names 1

Doing Business AsCoastal Vascular And Vein Center

Other Identifiers 1

Medicaid1023157575SC

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

Accepted Insurance

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 42D2291952

Coastal Vascular And Vein Institute · Summerville, SC
Active · expires Oct 17, 2027
CLIA Number42D2291952
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 18, 2025
Certificate Expiration DateOctober 17, 2027
Laboratory DirectorAdam J. Keefer
Laboratory Phone(843) 577-4551
Laboratory LocationCoastal Vascular And Vein Institute1229 Nexton Parkway Suite 3C, Summerville, SC 29483
CLIA data matches this NPI record on: Address Name Phone
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 Coastal Vascular And Vein Institute LLC's NPI number?

The NPI number for Coastal Vascular And Vein Institute LLC is 1578259750. It was assigned to this organization in the NPPES registry on April 12, 2023. The provider is doing business as Coastal Vascular and Vein Center.

Where is Coastal Vascular And Vein Institute LLC located?

Coastal Vascular And Vein Institute LLC is located at 1229 Nexton Pkwy, Summerville, SC 29486. The listed phone number is (843) 577-4551.

What is Coastal Vascular And Vein Institute LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Coastal Vascular And Vein Institute LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2291952) is associated with this NPI, valid through October 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coastal Vascular And Vein Institute LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Coastal Vascular And Vein Institute LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coastal Vascular And Vein Institute LLC was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.