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COASTAL WOUND CARE, LLC
NPI 1811681018
Emergency Medicine in Charleston, SC

Active since June 08, 2023CLIA Certified · 2 labs
2060 CHARLIE HALL BLVD STE A, CHARLESTON, SC 29414(843) 483-0193(839) 213-4599 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2024, Jun 7, 2024, Oct 3, 2023 and 2 more (5 updates tracked since 2023).

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 2 active CLIA laboratory certificates, maintains a secondary practice location in North Charleston, and lists Timothy James Durkan Gregory, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1811681018
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameCOASTAL WOUND CARE, LLC
Location Address2060 CHARLIE HALL BLVD STE ACharleston, SC 29414-6066
Mailing Address2060 Charlie Hall Blvd Ste ACharleston, SC 29414-6066 · (843) 483-0193 · Fax (839) 213-4599
Phone(843) 483-0193
Fax(839) 213-4599
Organization SubpartNo
Authorized OfficialTimothy James Durkan GregoryPhysician/owner · (254) 368-7864
Enumeration DateJune 8, 2023
Last NPPES UpdateOctober 21, 20245 updates tracked since enumeration
NPPES CertifiedOctober 21, 2024
✔ NPI 1811681018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2060 CHARLIE HALL BLVD STE A, Charleston, SC 29414
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Secondary Practice Location 1

Location 15401 Netherby Ln Ste 301North Charleston, SC 29420-7364 · Phone (843) 483-0193 · Fax (839) 213-4599

Other Identifiers 1

Medicaid331297SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 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, SC
Active · expires Apr 1, 2027
CLIA Number42D2321325
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2025
Certificate Expiration DateApril 1, 2027
Laboratory DirectorTimothy D. Gregory
Laboratory Phone(843) 554-9378
Laboratory LocationCoastal Wound Care LLC5401 Netherby Lane Unit 301, North Charleston, SC 29420
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2312959

Coastal Wound Care, LLC · Charleston, SC
Active · expires Oct 21, 2026
CLIA Number42D2312959
Laboratory TypePhysician Office
Certificate Effective DateOctober 22, 2024
Certificate Expiration DateOctober 21, 2026
Laboratory DirectorTimothy Gregory
Laboratory Phone(842) 483-0193
Laboratory LocationCoastal Wound Care, LLC2060 Charlie Hall Blvd Suite A, Charleston, SC 29414
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 3

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

DR. TIMOTHY JAMES DURKAN GREGORY MD
Emergency Medicine
2060 CHARLIE HALL BLVD STE A
CHARLESTON, SC 29414
Charleston County (843) 483-0193
LISA COVELL APRN
Nurse Practitioner
2060 CHARLIE HALL BLVD STE A
CHARLESTON, SC 29414
Charleston County (843) 483-0193
MS. ANNE LOUISE EDWARDS MD
Plastic Surgery
2060 CHARLIE HALL BLVD STE A
CHARLESTON, SC 29414
Charleston County (843) 483-0193

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 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.

Does Coastal Wound Care, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Coastal Wound Care, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, 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 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.