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

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: July 19, 2026.

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

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
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

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

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D2160532
Facility Type
Other - MOBILE URGENT CARE
Certificate Effective Date
January 14, 2025
Certificate Expiration Date
January 13, 2027
Laboratory Director
CHRISTOPHER A. PITTS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Gomed Charleston Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
1671 BELLE ISLE AVE STE 110J
MT PLEASANT, SC 29464
Nurse Practitioner (Family)
1671 BELLE ISLE AVE STE 110J
MOUNT PLEASANT, SC 29464
Nurse Practitioner
1671 BELLE ISLE AVE STE 110J
MOUNT PLEASANT, SC 29464
Nurse Practitioner (Family)
1671 BELLE ISLE AVE STE 110J
MOUNT PLEASANT, SC 29464
Physician Assistant
1671 BELLE ISLE AVE STE 110J
MOUNT PLEASANT, SC 29464
Nurse Practitioner (Family)
1671 BELLE ISLE AVE STE 110J
MOUNT PLEASANT, SC 29464

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790254365, enumerated as an "organization" on November 13, 2018.

The provider is located at 1671 BELLE ISLE AVE STE 110J MOUNT PLEASANT, SC 29464 and the phone number is (844) 994-6633.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, Medicare. Please consult your insurance carrier or call the provider to verify.