NPIMap

Organization Active NPI

South Carolina Coastal Medical Center LLC

Doing business as Novant Health Coastal Carolina Hospital

  • General Acute Care Hospital
  • Hardeeville, SC
National Provider Identifier
1205605409
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
SOUTH CAROLINA COASTAL MEDICAL CENTER LLC
Doing business as
Novant Health Coastal Carolina Hospital
Practice address
1000 Medical Center Dr
Hardeeville, SC 29927-3446
Phone
(834) 784-8000
NPI assigned
Dec 28, 2023
Last updated
Sep 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Authorized official

Name
Jason Bernd
Title
SVP & President South Carolina Regi
Phone
(843) 784-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

1000 Medical Center Dr
Hardeeville, SC 29927-3446

Mailing address

PO Box 749089
Atlanta, GA 30374-9089

Other practice location 1

75 Baylor Dr Ste 190
Bluffton, SC 29910-8965
Phone (843) 836-1730

Other practice location 2

300 Harborside Dr
Hardeeville, SC 29927-2959
Phone (843) 784-8000 ext. 5063

Other practice location 3

349 Tidewatch Dr
Bluffton, SC 29909-3766
Phone (843) 757-8433

Other names 1

  • Novant Health Coastal Carolina Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240605001062 SC Part A Provider - Hospital 0345782405 Practice locations: Bluffton, SC; Hardeeville, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205605409. Details of each certification follow.

Hospital certification: CCN 420101

Legal name
SOUTH CAROLINA COASTAL MEDICAL CENTER LLC
Doing business as
NOVANT HEALTH COASTAL CAROLINA MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jan 7, 2005
Last certification
Jun 9, 2007
Beds
41
Ownership / control type
Private (for profit)
Most recent change of ownership
Jan 31, 2024 (2 total)
Organization structure
LLCNon-profit
Enrollment address
1000 Medical Center Dr
Hardeeville, SC 29927-3446
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Short-term

Care Compare: Hospital

Medicare Care Compare
Listed as
Coastal Carolina HospitalCCN 420101 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Coastal Carolina Medical CenterCCN 42T101
Ownership
For profit
Certified
Apr 6, 2005

This is a unit of this hospital with its own CMS Certification Number. Care Compare reports it separately, and it has no NPI of its own. How units are connected

National Provider Directory

National Provider Directory

Locations

75 Baylor Dr
Ste 190
Bluffton, SC 29910
Phone (843) 689-1326

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lyn Tindal Individual Corporate DirectorBot Vice Chair Jan 1, 2021
Rose Buyck Newton Individual Corporate DirectorBot Chair Jan 1, 2021
Richard Ellings Hunter Individual Corporate DirectorBot Member Jan 1, 2024
Coastal Carolina Medical Center Inc Organization, Hardeeville, SC Corporation, For-profit Operational/Managerial Control Jan 31, 2024
Christopher Thomas Spires Individual Corporate DirectorBot Member Jan 1, 2025
Jason L Bernd Individual W-2 Managing Employee Jan 31, 2024
Operational/Managerial Control Jan 31, 2024
Novant Health South Carolina Holdings, LLC Organization, Winston Salem, NC Created for acquisition, Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 31, 2024 100%
Novant Health, Inc. Organization, Winston Salem, NC Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jan 31, 2024 100%
Eric S Gwynn Individual Corporate DirectorBot Member Jan 1, 2021
Hilton Head Regional Physician Network LLC Organization, Bluffton, SC LLC, For-profit Operational/Managerial Control Jan 31, 2024
Douglas Bryan McClure Individual Corporate DirectorBot Member Jul 15, 2021
Lynn B Norton Individual Corporate DirectorBot Member Jan 1, 2025

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 27

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 27

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

Affiliated clinicians 354

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 354

NPI Registry JSON

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1205605409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749089",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MEDICAL CENTER DR",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299273446",
            "telephone_number": "834-784-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Baylor Dr Ste 190",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299108965",
            "country_code": "US",
            "telephone_number": "843-836-1730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Harborside Dr",
            "address_purpose": "LOCATION",
            "city": "Hardeeville",
            "state": "SC",
            "postal_code": "299272959",
            "country_code": "US",
            "telephone_number": "843-784-8000 x5063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "349 Tidewatch Dr",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299093766",
            "country_code": "US",
            "telephone_number": "843-757-8433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH CAROLINA COASTAL MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "BERND",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "SVP & PRESIDENT SOUTH CAROLINA REGI",
        "authorized_official_telephone_number": "843-784-8000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Coastal Carolina Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hardeeville, SC

Sources for this page

Verify at the official NPI Registry.