COASTAL KIDNEY CENTER PA
NPI 1801961537
Internal Medicine - Nephrology in Conway, SC

Q: What is Coastal Kidney Center PA's NPI number?

The NPI number for Coastal Kidney Center PA is 1801961537. It was assigned to this organization in the NPPES registry on November 21, 2006.

Q: What is Coastal Kidney Center PA's specialty?

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

Active since November 21, 2006CLIA 42D0958562 · Microscopy

847 FARRAR DRIVE, CONWAY, SC 29526(843) 347-9487(843) 347-9574 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Coastal Kidney Center Pa NPPES

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

COASTAL KIDNEY CENTER PA (NPI 1801961537) is a healthcare organization registered as a nephrology in Conway, South Carolina and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through March 21, 2027 and lists Sivanthan Balachandran, President, as its authorized official.

NPPES Registry Identity

NPI1801961537

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameCOASTAL KIDNEY CENTER PA

Location Address847 FARRAR DRIVEConway, SC 29526

Mailing Address847 Farrar DriveConway, SC 29526 · (843) 347-9487 · Fax (843) 347-9574

Phone(843) 347-9487

Fax(843) 347-9574

Organization SubpartNo

Authorized OfficialSivanthan BalachandranPresident · (843) 347-9487

Enumeration DateNovember 21, 2006

Last NPPES UpdateSeptember 25, 2024

NPPES CertifiedSeptember 19, 2024

✔ NPI 1801961537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in SC · 17448✔ Licensed in SC · 22373✔ Licensed in SC · 985

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.

847 FARRAR DRIVE, Conway, SC 29526

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Other Identifiers 1

MedicaidGP1049SC

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 Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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 for Provider-Performed Microscopy Procedures (PPMP) 42D0958562

Coastal Kidney Center PA · Conway, SC

Active · expires Mar 21, 2027

CLIA Number42D0958562

Laboratory TypePhysician Office

Certificate Effective DateMarch 22, 2025

Certificate Expiration DateMarch 21, 2027

Laboratory DirectorJohn J. Elms

Laboratory Phone(843) 347-9487

Laboratory LocationCoastal Kidney Center PA847 Farrar Drive, Conway, SC 29526

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Kidney Center PA's NPI number?

The NPI number for Coastal Kidney Center PA is 1801961537. It was assigned to this organization in the NPPES registry on November 21, 2006.

Where is Coastal Kidney Center PA located?

Coastal Kidney Center PA is located at 847 Farrar Drive, Conway, SC 29526. The listed phone number is (843) 347-9487.

What is Coastal Kidney Center PA's specialty?

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

Does Coastal Kidney Center PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D0958562) is associated with this NPI, valid through March 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coastal Kidney Center PA accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Coastal Kidney Center PA 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 Kidney Center PA was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.