COASTAL WOUND CARE, LLC
NPI 1811681018
Emergency Medicine in Charleston, SC
About Coastal Wound Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTAL WOUND CARE, LLC (NPI 1811681018) is a healthcare organization registered as an emergency medicine in Charleston, South Carolina and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through April 1, 2027, maintains a secondary practice location in North Charleston, and lists Timothy James Durkan Gregory, Physician/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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)
Coastal Wound Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Coastal Wound Care, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 2
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 42D2321325
Coastal Wound Care LLC · North Charleston, SCCertificate of Waiver 42D2312959
Coastal Wound Care, LLC · Charleston, 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 Coastal Wound Care, LLC's NPI number?
The NPI number for Coastal Wound Care, LLC is 1811681018. It was assigned to this organization in the NPPES registry on June 8, 2023.
Where is Coastal Wound Care, LLC located?
Coastal Wound Care, LLC is located at 2060 Charlie Hall Blvd Ste A, Charleston, SC 29414. The listed phone number is (843) 483-0193.
What is Coastal Wound Care, LLC's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Coastal Wound Care, LLC enrolled in Medicare?
Yes. Coastal Wound Care, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coastal Wound Care, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Coastal Wound Care, LLC, in Emergency Medicine, Nurse Practitioner and Plastic and Reconstructive Surgery. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Coastal Wound Care, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 42D2321325) is associated with this NPI, valid through April 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Coastal Wound Care, LLC accept?
Health plans from BlueCross BlueShield of South Carolina and Molina Healthcare list Coastal Wound Care, 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 Coastal Wound Care, LLC was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Coastal Wound Care, Llc · NPI 1811681018
Emergency Medicine organization in Charleston, South Carolina. Organization record, active in the CMS NPPES registry since June 8, 2023.
## Identity
- **NPI:** 1811681018 (Entity type: Organization)
- **Enumerated:** June 8, 2023
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** Timothy Gregory, PHYSICIAN/OWNER
## Practice location
- **Address:** 2060 CHARLIE HALL BLVD STE A, Charleston, SC 29414-6066
- **Phone:** (843) 483-0193 · **Fax:** (839) 213-4599
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (1), Nurse Practitioner (1), Plastic and Reconstructive Surgery (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 21, 2024
- **Other identifiers:** Medicaid 331297 (SC)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1811681018) · Data from the CMS NPPES public registry.