GOMED CHARLESTON LLC
NPI 1790254365
Family Medicine in Mount Pleasant, SC
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
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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)
Gomed Charleston Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Gomed Charleston LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Mount Pleasant, SC 29464
Mount Pleasant, SC 29464
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, SCFrequently 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 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.
Where is Gomed Charleston LLC located?
Gomed Charleston LLC is located at 1671 Belle Isle Ave Ste 110J, Mount Pleasant, SC 29464. The listed phone number is (844) 994-6633.
What is Gomed Charleston LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Gomed Charleston LLC enrolled in Medicare?
Yes. Gomed Charleston LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gomed Charleston LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Gomed Charleston LLC. 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 Nurse Practitioner (6), Anesthesiology (1) and Emergency Medicine (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Gomed Charleston LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 42D2160532) is associated with this NPI, valid through January 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Gomed Charleston LLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care and Ambetter of North Carolina list Gomed Charleston 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 Gomed Charleston LLC was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Gomed Charleston Llc · NPI 1790254365
Family Medicine organization in Mount Pleasant, South Carolina. Organization record, active in the CMS NPPES registry since November 13, 2018.
## Identity
- **NPI:** 1790254365 (Entity type: Organization)
- **Enumerated:** November 13, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Robert Mester, MEDICAL DIRECTOR
## Practice location
- **Address:** 1671 BELLE ISLE AVE STE 110J, Mount Pleasant, SC 29464-8336
- **Phone:** (844) 994-6633 · **Fax:** (470) 235-1861
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Anesthesiology (1), Emergency Medicine (1); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 6, 2025
- **Other identifiers:** Other 42D2160532 (SC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790254365) · Data from the CMS NPPES public registry.