COASTAL PEDIATRIC ASSOCIATES, P.A.
NPI 1770700759
Pediatrics in Charleston, SC

Active since April 19, 2007
2067 CHARLIE HALL BLVD, CHARLESTON, SC 29414(843) 573-2535(843) 573-2534 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 2, 2022, May 21, 2019, Mar 26, 2018 and 1 more (4 updates tracked since 2017).

About Coastal Pediatric Associates, P.a. NPPES

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

COASTAL PEDIATRIC ASSOCIATES, P.A. (NPI 1770700759) is a healthcare organization registered as a pediatrics in Charleston, South Carolina and active in the NPI registry since April 2007. The organization maintains 7 additional practice locations and lists Robert Andrew Clifford, Partner, as its authorized official.

NPPES Registry Identity

NPI1770700759
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCOASTAL PEDIATRIC ASSOCIATES, P.A.
Location Address2067 CHARLIE HALL BLVDCharleston, SC 29414-5834
Mailing Address4975 Lacross Rd Ste 150North Charleston, SC 29406-6531
Fax(843) 573-2534
Organization SubpartNo
Authorized OfficialRobert Andrew CliffordPartner · (843) 573-2535
Enumeration DateApril 19, 2007
Last NPPES UpdateAugust 2, 20224 updates tracked since enumeration
NPPES CertifiedAugust 2, 2022
✔ NPI 1770700759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X
2067 CHARLIE HALL BLVD, Charleston, SC 29414

Secondary Practice Locations 7

Location 12015 2nd Ave Ste 102Summerville, SC 29486-7889 · Phone (843) 737-9465
Location 22015 2nd Ave # 103Summerville, SC 29486-7889 · Phone (843) 737-9465
Location 32015 2nd Ave Ste 101Summerville, SC 29486-7889 · Phone (843) 737-9465
Location 41300 Hospital Dr Ste 320Mount Pleasant, SC 29464-3217 · Phone (843) 737-9494
Location 51952 Long Grove Dr Ste 202Mount Pleasant, SC 29464-7579 · Phone (843) 791-2992 · Fax (843) 971-2992
Location 62051 Charlie Hall Blvd.Charleston, SC 29414 · Phone (843) 573-2535 · Fax (843) 573-2534
Location 7776 Daniel Ellis Dr Ste ACharleston, SC 29412-3094 · Phone (843) 795-8100 · Fax (843) 722-3010

Other Identifiers 8

MedicaidGP7882SC
MedicaidGP8228SC
MedicaidGP4680SC
MedicaidGP8203SC
MedicaidGP8237SC
MedicaidGP4716SC
MedicaidGP8229SC
MedicaidPG1066SC

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)

Coastal Pediatric Associates, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Coastal Pediatric Associates, P.A., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Pediatric Medicine13
Internal Medicine1

Clinicians, nearest first (14)

Pediatric Medicine
NPI 1780639674
2067 CHARLIE HALL BLVD
Charleston, SC 29414
(843) 573-2535
✔ PECOSSame address
Pediatric Medicine
NPI 1780659284
2051 CHARLIE HALL BLVD
Charleston, SC 29414
(843) 573-2535
✔ PECOS0.1 mi
Pediatric Medicine
NPI 1316913072
2051 CHARLIE HALL BLVD
Charleston, SC 29414
(843) 573-2535
0.1 mi
Pediatric Medicine
NPI 1437126349
2051 CHARLIE HALL BLVD
Charleston, SC 29414
(843) 573-2535
✔ PECOS0.1 mi
Pediatric Medicine
NPI 1760630362
2051 CHARLIE HALL BLVD
Charleston, SC 29414
(843) 573-3525
✔ PECOS0.1 mi
Pediatric Medicine
NPI 1942275060
2051 CHARLIE HALL BLVD
Charleston, SC 29414
(843) 573-2535
✔ PECOS0.1 mi
Pediatric Medicine
NPI 1174598221
2051 CHARLIE HALL BLVD
Charleston, SC 29414
(843) 573-2535
✔ PECOS0.1 mi
Pediatric Medicine
NPI 1538122205
2051 CHARLIE HALL BLVD
Charleston, SC 29414
(843) 573-2535
✔ PECOS0.1 mi
Pediatric Medicine
NPI 1073812731
1483 TOBIAS GADSON BLVD STE 109
Charleston, SC 29407
(843) 556-8110
✔ PECOS0.8 mi
Pediatric Medicine
NPI 1912389628
1243 SAVANNAH HWY STE B
Charleston, SC 29407
(843) 556-8110
✔ PECOS3.3 mi
Pediatric Medicine
NPI 1689797268
3312 MAYBANK HWY STE B
Johns Island, SC 29455
(843) 894-3490
✔ PECOS6.1 mi
Pediatric Medicine
NPI 1457306292
776 DANIEL ELLIS DR BLDG 2 STE A
Charleston, SC 29412
(843) 795-8100
✔ PECOS6.4 mi
Pediatric Medicine
NPI 1740443464
1952 LONG GROVE DR STE 202
Mount Pleasant, SC 29464
(843) 971-2992
✔ PECOS10 mi
Internal Medicine
NPI 1043697022
1026 POWDERSVILLE RD STE B
Easley, SC 29642
(864) 883-9737
✔ PECOS199 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 Coastal Pediatric Associates, P.A.'s NPI number?

The NPI number for Coastal Pediatric Associates, P.A. is 1770700759. It was assigned to this organization in the NPPES registry on April 19, 2007.

Where is Coastal Pediatric Associates, P.A. located?

Coastal Pediatric Associates, P.A. is located at 2067 Charlie Hall Blvd, Charleston, SC 29414. The listed phone number is (843) 573-2535.

What is Coastal Pediatric Associates, P.A.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Coastal Pediatric Associates, P.A. enrolled in Medicare?

Yes. Coastal Pediatric Associates, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Pediatric Associates, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 2 Medicare specialties reassign their Medicare billing to Coastal Pediatric Associates, P.A.. 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. The largest specialties are Pediatric Medicine (13) and Internal Medicine (1). Of these, 1 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Coastal Pediatric Associates, P.A. accept?

Health plans from First Choice Next list Coastal Pediatric Associates, P.A. 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 Pediatric Associates, P.A. was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.