NPIMap

Individual provider Active NPI

Serena Cobb, APRN-FNP

  • Family Nurse Practitioner
  • North Charleston, SC
National Provider Identifier
1396286431
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20753 Issued in SC
Practice address
4975 Lacross Rd Ste 110
North Charleston, SC 29406-6531
Phone
(843) 266-3561
Fax
(843) 266-3568
NPI assigned
Mar 8, 2017
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20753 SC Primary

Addresses

Primary practice location

4975 Lacross Rd Ste 110
North Charleston, SC 29406-6531

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043

Other identifiers 1

IdentifierTypeStateIssuer
NP4803MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171205000534 SC Practitioner - Nurse Practitioner 2860765641 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4975 Lacross Rd
Suite 110
North Charleston, SC 29406-6531
Phone (843) 266-3561

9313 Medical Plaza Dr
Suite 202
North Charleston, SC 29406-9176
Phone (843) 695-6071

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20753SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Nov 20, 2017 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Jul 25, 2022 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Oct 20, 2025 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Jul 25, 2022 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Oct 20, 2025 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Nov 20, 2017 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients

Locations

776 Daniel Ellis Dr
Ste 1B
Charleston, SC 29412
Phone (843) 795-0300

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

4975 Lacross Rd
Ste 110
North Charleston, SC 29406
Phone (843) 723-2835

9313 Medical Plaza Dr
Ste 202
North Charleston, SC 29406
Phone (843) 572-1200

Interoperability endpoints

  • Direct secure messaging: scobb3059903@direct.bsmhealth.org
  • Direct secure messaging: serena.cobb@ppcp1.eclinicaldirectplus.com

Organizations & group practices 9

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": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1396286431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "888-472-0043",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4975 LACROSS RD STE 110",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066531",
            "telephone_number": "843-266-3561",
            "fax_number": "843-266-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "SERENA",
        "credential": "APRN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP4803",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.