Coastal Carolina Urology Group LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

COASTAL CAROLINA UROLOGY GROUP LLC

Practice address

1055 Ribaut Rd
Suite 10
Beaufort, SC 29902-5423

Phone

(843) 524-7607

Fax

(843) 524-6737

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Jeanine Sawler

Title

Practice Manager

Phone

(843) 524-7607

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John B Adams II, MD

  • Urology Physician
  • Charleston, SC
  • NPI 1013081678
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1477612703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440007",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440007",
            "telephone_number": "888-482-4871",
            "fax_number": "615-261-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 RIBAUT RD",
            "address_2": "SUITE 10",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025423",
            "telephone_number": "843-524-7607",
            "fax_number": "843-524-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CAROLINA UROLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "SAWLER",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "843-524-7607"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR PIN",
            "identifier": "CG7000",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara A. Clarke, LICENSED PSYCHOLOGIS
• Marsha Elizabeth Clyburn, RDH
• Coastal Cardiovascular Clinic
• Coastal Caremd
• Coastal Carolina Surgical Assoc
• Coastal Carolina Urology Group, LLC
• Coastal Empire
• Coastal Empire Community Mental Health Center
• Coastal Hand Therapy Inc
• Coastal Obstetrics and Gynecology

• Urology Physician in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Urology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.