Active NPI
Charlene S Coates
- Family Nurse Practitioner
- Okatie, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 30550
- Practice address
- 40 Okatie Center Blvd S
Okatie, SC 29909-7507 - Phone
- (843) 522-0476
- NPI assigned
- Mar 7, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 30550 | SC | Primary |
| Family Nurse Practitioner | 363LF0000X | APRN-NP307881 | GA |
Addresses
Primary practice location
40 Okatie Center Blvd S
Okatie, SC 29909-7507
Mailing address
220 Skylark Rd
Bloomingdale, GA 31302-9668
Phone (251) 391-4397
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250605001154 | GA | Practitioner - Nurse Practitioner | 2365951761 | Reassigns benefits to 3 organizations |
| I20260206002208 | SC | Practitioner - Nurse Practitioner | 2365951761 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
40 Okatie Ctr Blvd S
Suite 230
Okatie, SC 29909-7509
Phone (843) 522-0476
Hospital & facility affiliations
- Pine View Nursing and Rehab Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP307881 | GA | MD | Family Nurse Practitioner |
| 30550 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
| Altea Medical Georgia PC | Current | Accepting new patients | |
| Pruitthealth Hospice, Inc. | Current | Accepting new patients | |
| Pruitthealth Hospice, Inc. | Current | Accepting new patients | |
| Post Acute Medical PLLC | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
| Physicians at Home PC | Past | Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 277-2167
1626 Jeurgens Ct
Norcross, GA 30093
Phone (770) 806-6875
411 Pine St
Sylvania, GA 30467
Phone (855) 772-9700
2051 Elijah Ludd Rd
Ste 1
Florence, SC 29501
Phone (843) 573-8623
40 Okatie Center Blvd S
Ste 230
Okatie, SC 29909
Phone (843) 522-0476
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Sylvania, GA
- NPI 1407692452
GA
-
- Nephrology Physician
- Brentwood, TN
- NPI 1255930228
Family, GA
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
GA
-
- Community Based Hospice Care Agency
- Okatie, SC
- NPI 1285672295
-
- Community Based Hospice Care Agency
- Greenville, NC
- NPI 1992744361
-
- Internal Medicine Physician
- Myrtle Beach, SC
- NPI 1487073193
Hospital & facility affiliations 1
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": "1741305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1548068174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 SKYLARK RD",
"city": "BLOOMINGDALE",
"state": "GA",
"postal_code": "313029668",
"telephone_number": "251-391-4397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 OKATIE CENTER BLVD S",
"city": "OKATIE",
"state": "SC",
"postal_code": "299097507",
"telephone_number": "843-522-0476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COATES",
"first_name": "CHARLENE",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-07",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "30550",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "APRN-NP307881",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Okatie, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.