ATHENA CONSULTING LLC
NPI 1679316889
Internal Medicine in North Charleston, SC

Active since June 15, 2024
3842 LEEDS AVE UNIT C, NORTH CHARLESTON, SC 29405(843) 747-6634 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2025, Jun 15, 2024 (2 updates tracked since 2024).

About Athena Consulting Llc NPPES

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

ATHENA CONSULTING LLC (NPI 1679316889) is a healthcare organization registered as an internal medicine in North Charleston, South Carolina and active in the NPI registry since June 2024. The organization lists Tyler Stout, Manager, as its authorized official.

NPPES Registry Identity

NPI1679316889
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameATHENA CONSULTING LLC
Location Address3842 LEEDS AVE UNIT CNorth Charleston, SC 29405-7460
Mailing Address3842 Leeds Ave Unit CNorth Charleston, SC 29405-7460 · (843) 747-6634
Organization SubpartNo
Authorized OfficialTyler StoutManager · (337) 315-7927
Enumeration DateJune 15, 2024
Last NPPES UpdateNovember 3, 20252 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1679316889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
3842 LEEDS AVE UNIT C, North Charleston, SC 29405

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Athena Consulting Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Athena Consulting LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Internal Medicine
NPI 1437773496
96 JONATHAN LUCAS ST STE 812
Charleston, SC 29425
(843) 792-2911
✔ PECOS✔ Accepts Medicare5.8 mi
Internal Medicine
NPI 1013969393
180 WINGO WAY STSE 306
Mt Pleasant, SC 29464
(843) 884-1777
✔ PECOS✔ Accepts Medicare7.5 mi
Nurse Practitioner
NPI 1790035509
2880 TRICOM ST
N Charleston, SC 29406
(843) 797-5050
✔ PECOS✔ Accepts Medicare9.4 mi
Nurse Practitioner
NPI 1144636192
2880 TRICOM ST
North Charleston, SC 29406
(843) 797-5050
✔ PECOS✔ Accepts Medicare9.4 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 Athena Consulting LLC's NPI number?

The NPI number for Athena Consulting LLC is 1679316889. It was assigned to this organization in the NPPES registry on June 15, 2024.

Where is Athena Consulting LLC located?

Athena Consulting LLC is located at 3842 Leeds Ave Unit C, North Charleston, SC 29405. The listed phone number is (843) 747-6634.

What is Athena Consulting LLC's specialty?

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

Is Athena Consulting LLC enrolled in Medicare?

Yes. Athena Consulting LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Athena Consulting LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Athena Consulting LLC, in Internal Medicine and Nurse Practitioner. 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. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Athena Consulting LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Athena Consulting 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 Athena Consulting LLC was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.