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EBBTIDE COMPREHENSIVE CARE
NPI 1609561935
Internal Medicine in Charleston, SC

Active since April 11, 2023
669 MARINA DR STE A2, CHARLESTON, SC 29492(843) 491-9960(843) 491-9955 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 5, 2026, Jul 19, 2023, Apr 11, 2023 (3 updates tracked since 2023).

About Ebbtide Comprehensive Care NPPES

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

EBBTIDE COMPREHENSIVE CARE (NPI 1609561935) is a healthcare organization registered as an internal medicine in Charleston, South Carolina and active in the NPI registry since April 2023. The organization maintains 2 additional practice locations and lists Corynne Ann Boyer, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1609561935
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEBBTIDE COMPREHENSIVE CARE
Location Address669 MARINA DR STE A2Charleston, SC 29492-7573
Mailing Address669 Marina Dr Ste A2Charleston, SC 29492-7573 · (843) 491-9955 · Fax (843) 491-9960
Phone(843) 491-9960
Fax(843) 491-9955
Organization SubpartNo
Authorized OfficialCorynne Ann BoyerOwner/physician · (267) 226-0250
Enumeration DateApril 11, 2023
Last NPPES UpdateJanuary 5, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
✔ NPI 1609561935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
669 MARINA DR STE A2, Charleston, SC 29492
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11064 Gardner Rd Ste 105-106Charleston, SC 29407-5768 · Phone (843) 491-9960 · Fax (843) 491-9955
Location 2110B Springhall DrGoose Creek, SC 29445-5335 · Phone (843) 491-9960 · Fax (843) 491-9955

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ebbtide Comprehensive Care 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 Ebbtide Comprehensive Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Corynne Boyer, D.O.
Internal Medicine
NPI 1912138983
110B SPRINGHALL DR
Goose Creek, SC 29445
(843) 491-9960
✔ PECOS✔ Accepts Medicare9.9 mi

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

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 Ebbtide Comprehensive Care's NPI number?

The NPI number for Ebbtide Comprehensive Care is 1609561935. It was assigned to this organization in the NPPES registry on April 11, 2023.

Where is Ebbtide Comprehensive Care located?

Ebbtide Comprehensive Care is located at 669 Marina Dr Ste A2, Charleston, SC 29492. The listed phone number is (843) 491-9960.

What is Ebbtide Comprehensive Care's specialty?

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

Is Ebbtide Comprehensive Care enrolled in Medicare?

Yes. Ebbtide Comprehensive Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ebbtide Comprehensive Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Ebbtide Comprehensive Care. 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.

What insurance does Ebbtide Comprehensive Care accept?

Health plans from BlueCross BlueShield of South Carolina list Ebbtide Comprehensive Care 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 Ebbtide Comprehensive Care was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.