Coastal Carolina Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

842 Issued in SC

Legal business name

COASTAL CAROLINA FAMILY MEDICINE

Practice address

1010 Medical Center Dr Ste 240
Hardeeville, SC 29927-3448

Phone

(843) 784-8300

Fax

(843) 784-8304

NPI assigned

Sep 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Heather M Hutchings, DONPI 1134231756

Title

President

Phone

(843) 784-8300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather McCoy Hutchings, DO

  • Internal Medicine Physician
  • Lenoir City, TN
  • NPI 1134231756

  Family Medicine

  NPD (past) Authorized official
• Jonathan Hutchings, D.O.

  • Family Medicine Physician
  • Lenoir City, TN
  • NPI 1538271176
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053415737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1633",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299271633",
            "telephone_number": "843-784-8300",
            "fax_number": "843-784-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MEDICAL CENTER DR STE 240",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299273448",
            "telephone_number": "843-784-8300",
            "fax_number": "843-784-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CAROLINA FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUTCHINGS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-784-8300",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3984",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicolette Charboneau
• City of Hardeeville (Hardeeville Fire Department)
• Katie Elizabeth Clayton
• Clemson Sports Medicine and Rehabilitation Inc (Island Physical Therapy)
• Clinical Lab Partners, LLC
• Coastal Carolina Medical Center Inc (Coastal Carolina Medical Center-ED Physicians)
• Coastal Carolina Medical Center, Inc. (Coastal Carolina Medical Associates)
• Coastal Carolina Medical Center, Inc. (Coastal Carolina Hospital-Swing Bed Unit)
• Coastal Carolina Medical Center, Inc. (Coastal Carolina Hospital- Rehabilitation Unit)
• Coastal Carolina Medical Center, Inc. (Coastal Carolina Hospital)

• Family Medicine Physician in Hardeeville, SC
• Providers in Hardeeville, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.