GOMED CHARLESTON LLC
NPI 1790254365
Family Medicine in Mount Pleasant, SC

Q: What is Gomed Charleston LLC's NPI number?

The NPI number for Gomed Charleston LLC is 1790254365. It was assigned to this organization in the NPPES registry on November 13, 2018.

Q: What is Gomed Charleston LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 13, 2018CLIA 42D2160532 · Waiver

1671 BELLE ISLE AVE STE 110J, MOUNT PLEASANT, SC 29464(844) 994-6633(470) 235-1861 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2025, Sep 20, 2024, Jul 17, 2024 and 4 more (7 updates tracked since 2018).

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About Gomed Charleston Llc NPPES

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

GOMED CHARLESTON LLC (NPI 1790254365) is a healthcare organization registered as a family medicine in Mount Pleasant, South Carolina and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through January 13, 2027 and lists Robert Allan Mester, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1790254365

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameGOMED CHARLESTON LLC

Location Address1671 BELLE ISLE AVE STE 110JMount Pleasant, SC 29464-8336

Mailing Address2011 Commerce Dr NPeachtree City, GA 30269-3538 · (844) 994-6633

Phone(844) 994-6633

Fax(470) 235-1861

Organization SubpartNo

Authorized OfficialRobert Allan MesterMedical Director · (813) 360-3957

Enumeration DateNovember 13, 2018

Last NPPES UpdateJanuary 6, 20257 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2025

✔ NPI 1790254365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1671 BELLE ISLE AVE STE 110J, Mount Pleasant, SC 29464

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Other Identifiers 1

Other42D2160532SC · Clia Waiver Certification

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 ›

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 42D2160532

Gomed Charleston, LLC · Mount Pleasant, SC

Active · expires Jan 13, 2027

CLIA Number42D2160532

Laboratory TypeMobile Urgent Care

Certificate Effective DateJanuary 14, 2025

Certificate Expiration DateJanuary 13, 2027

Laboratory DirectorChristopher A. Pitts

Laboratory Phone(478) 396-4086

Laboratory LocationGomed Charleston, LLC1671 Belle Isle, Mount Pleasant, SC 29464

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY KOLODZIEJ NP

Nurse Practitioner