COASTAL CAROLINA NEPHROLOGY LLC
NPI 1679554752
Internal Medicine - Nephrology in Charleston, SC

Q: What is Coastal Carolina Nephrology LLC's NPI number?

The NPI number for Coastal Carolina Nephrology LLC is 1679554752. It was assigned to this organization in the NPPES registry on November 7, 2005. The provider was formerly known as Trident Nephrology LLC.

Q: What is Coastal Carolina Nephrology LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since November 07, 2005

1938-A CHARLIE HALL BLVD, CHARLESTON, SC 29414(843) 554-9313(843) 744-5961 Get Directions Write a Review

NPPES record last updated: August 29, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Coastal Carolina Nephrology Llc NPPES

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

COASTAL CAROLINA NEPHROLOGY LLC (NPI 1679554752), doing business as Trident Nephrology Llc, is a healthcare organization registered as a nephrology in Charleston, South Carolina and active in the NPI registry since November 2005. The organization lists Lisa R Stewart, Partner, as its authorized official.

NPPES Registry Identity

NPI1679554752

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameCOASTAL CAROLINA NEPHROLOGY LLC

Location Address1938-A CHARLIE HALL BLVDCharleston, SC 29414-5837

Mailing Address1938-a Charlie Hall BlvdCharleston, SC 29414-5837 · (843) 554-9313 · Fax (843) 744-5961

Phone(843) 554-9313

Fax(843) 744-5961

Organization SubpartNo

Authorized OfficialLisa R StewartPartner · (843) 554-9313

Enumeration DateNovember 7, 2005

Last NPPES UpdateAugust 29, 2007

✔ NPI 1679554752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1938-A CHARLIE HALL BLVD, Charleston, SC 29414

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Other Names 1

Former Legal Business NameTrident Nephrology Llc

Other Identifiers 2

Other8172Medicare Group

OtherGP2967Medicaid Group

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

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 Carolina Nephrology LLC's NPI number?

The NPI number for Coastal Carolina Nephrology LLC is 1679554752. It was assigned to this organization in the NPPES registry on November 7, 2005. The provider was formerly known as Trident Nephrology LLC.

Where is Coastal Carolina Nephrology LLC located?

Coastal Carolina Nephrology LLC is located at 1938-A Charlie Hall Blvd, Charleston, SC 29414. The listed phone number is (843) 554-9313.

What is Coastal Carolina Nephrology LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Coastal Carolina Nephrology LLC was last updated on August 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.