Coastal Obstetrics and Gynecology

Primary specialty

SpecialistTaxonomy code 174400000X

License

22002 Issued in SC

Legal business name

COASTAL OBSTETRICS AND GYNECOLOGY

Practice address

13 Marshellen Drive
Beaufort, SC 29902

Phone

(843) 521-0377

Fax

(843) 525-9194

NPI assigned

Dec 22, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Ardra Davis-Tolbert, MD

Title

Director

Phone

(843) 521-0377

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Donna Michelle Andrews, CNM

  • Advanced Practice Midwife
  • West Columbia, SC
  • NPI 1548378409
  NPD (past)
• Meredith E Mitchell, MD

  • Specialist
  • Bluffton, SC
  • NPI 1831356898
  NPD (past)
• Claude H Tolbert Jr., MD

  • Gynecology Physician
  • Bluffton, SC
  • NPI 1922026350
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1477618189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 MARSHELLEN DR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 MARSHELLEN DRIVE",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29902",
            "telephone_number": "843-521-0377",
            "fax_number": "843-525-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL OBSTETRICS AND GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS-TOLBERT",
        "authorized_official_first_name": "ARDRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-521-0377",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "22002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4001",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Carolina Urology Group LLC
• Coastal Carolina Urology Group, LLC
• Coastal Empire
• Coastal Empire Community Mental Health Center
• Coastal Hand Therapy Inc
• Coastal Orthodontics
• Coastal Physical Therapy Inc
• John Coates, IDC
• Heather L Coker, M.ED
• Susan R Coker, PA

• Specialist in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.