Coastal Carolina Physician Practices LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

COASTAL CAROLINA PHYSICIAN PRACTICES LLC

Practice address

29 Plantation Park Dr
Suite 204
Bluffton, SC 29910-9001

Phone

(843) 836-3667

Fax

(843) 836-3677

NPI assigned

Aug 24, 2006

Last updated

Jan 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. George W Warner, MDNPI 1548245301

Title

Physician

Phone

(843) 836-3667

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• George W Warner, MD

  • Neurology Physician
  • Bluffton, SC
  • NPI 1548245301
  NPD (past) Authorized official
• Phillip Billings Flexon, MD

  • Otolaryngology Physician
  • Stockbridge, GA
  • NPI 1922044718
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1487761318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1109",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299271109",
            "telephone_number": "843-836-3667",
            "fax_number": "843-836-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 PLANTATION PARK DR",
            "address_2": "SUITE 204",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109001",
            "telephone_number": "843-836-3667",
            "fax_number": "843-836-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CAROLINA PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "843-836-3667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4679",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy Lyn Christman, MD
• Barbara Ann Christy, RN
• Emily Ciccarella, DPT
• Lori Karin Clark, DC
• Rosemary Clark, LPC, LMFT
• Coastal Empire Mental Health
• Coastal Foot & Ankle Center LLC
• Coastal Pain & Spine Center LLC
• Coastal Pain and Spine Center, Inc
• Coastal Psychotherapy and Consulting Inc.

• Neurology Physician in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Neurology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.