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TIDEWATER DOCTORS LLC
NPI 1821769290
Internal Medicine in Charleston, SC

Active since September 24, 2021CLIA 42D2145618 · Waiver
2270 ASHLEY CROSSING DR STE 155, CHARLESTON, SC 29414(843) 990-5866(843) 868-8041 Get Directions Write a Review

NPPES record last updated: September 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tidewater Doctors Llc NPPES

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

TIDEWATER DOCTORS LLC (NPI 1821769290) is a healthcare organization registered as an internal medicine in Charleston, South Carolina and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through March 12, 2028 and lists Andrea Hurley, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1821769290
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTIDEWATER DOCTORS LLC
Location Address2270 ASHLEY CROSSING DR STE 155Charleston, SC 29414-5749
Mailing Address2834 Aquaduct StCharleston, SC 29414-7410 · (843) 200-7721
Phone(843) 990-5866
Fax(843) 868-8041
Organization SubpartNo
Authorized OfficialAndrea HurleyPractice Administrator · (843) 200-7721
Enumeration DateSeptember 24, 2021
NPPES CertifiedSeptember 9, 2021
✔ NPI 1821769290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
2270 ASHLEY CROSSING DR STE 155, Charleston, SC 29414
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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.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 of Waiver 42D2145618

Tidewater Doctors LLC · Charleston, SC
Active · expires Mar 12, 2028
CLIA Number42D2145618
Laboratory TypePhysician Office
Certificate Effective DateMarch 13, 2026
Certificate Expiration DateMarch 12, 2028
Laboratory DirectorJeffrey M. Akhtar
Laboratory Phone(843) 990-5866
Laboratory LocationTidewater Doctors LLC2270 Ashley Crossing Dr, Suite 155, Charleston, SC 29414
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JEFFREY M AKHTAR DO
Internal Medicine
2270 ASHLEY CROSSING DR STE 155
CHARLESTON, SC 29414
Charleston County (843) 225-8308

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 Tidewater Doctors LLC's NPI number?

The NPI number for Tidewater Doctors LLC is 1821769290. It was assigned to this organization in the NPPES registry on September 24, 2021.

Where is Tidewater Doctors LLC located?

Tidewater Doctors LLC is located at 2270 Ashley Crossing Dr Ste 155, Charleston, SC 29414. The listed phone number is (843) 990-5866.

What is Tidewater Doctors LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Tidewater Doctors LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2145618) is associated with this NPI, valid through March 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tidewater Doctors LLC accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Tidewater Doctors 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 Tidewater Doctors LLC was last updated on September 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.