Individual provider Active NPI

Cindi Boderman

  • Nurse Practitioner
  • Bluffton, SC
National Provider Identifier
1164968608
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
25808 Issued in SC
Practice address
23 Plantation Park Dr Ste 101
Bluffton, SC 29910-6072
Phone
(843) 815-6555
NPI assigned
Jan 9, 2017
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 25808 SC Primary
Nurse Practitioner 363L00000X SP017242 PA
Registered Nurse 163W00000X RN629928 PA

Addresses

Primary practice location

23 Plantation Park Dr Ste 101
Bluffton, SC 29910-6072

Mailing address

23 Plantation Park Dr Ste 101
Bluffton, SC 29910-6072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220310002016 SC Practitioner - Nurse Practitioner 4789960998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Rheumatology AllianceGroup PAC ID 2466891353, 24 clinicians

Practice addresses (Care Compare)

23 Plantation Park Dr
Suite 101
Bluffton, SC 29910-6072
Phone (912) 349-4227

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN629928PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Articularis Healthcare Group Inc. CurrentSince Mar 30, 2024 Accepting new patients
Southeastern Rheumatology Alliance CurrentSince May 1, 2024 Accepting new patients
Articularis Healthcare Group Inc. CurrentSince Mar 30, 2024 Accepting new patients
Southeastern Rheumatology Alliance Past Accepting new patients

Locations

700 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 532-4084

23 Plantation Park Dr
Ste 101
Bluffton, SC 29910
Phone (843) 815-6555

2001 2nd Ave
Ste 201
Summerville, SC 29486
Phone (843) 572-4840

2015 2nd Ave
Ste 204
Summerville, SC 29486
Phone (843) 572-4840

Interoperability endpoints

  • Direct secure messaging: cindi.boderman.p1@direct.coastalrheumatology.nextgenshare.com
  • Direct secure messaging: ms_cboderma@landmarkhealth-direct.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1164968608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 PLANTATION PARK DR STE 101",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 PLANTATION PARK DR STE 101",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106072",
            "telephone_number": "843-815-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODERMAN",
        "first_name": "CINDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "25808",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP017242",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN629928",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.