Individual provider Active NPI

Charlene S Coates

  • Family Nurse Practitioner
  • Okatie, SC
National Provider Identifier
1548068174
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30550 Issued in SC
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

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
Pruitthealth Hospice IncGroup PAC ID 2264344217, 42 clinicians

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 Nursing home, Sylvania, GA, CCN 115544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP307881GAMDFamily Nurse Practitioner
30550SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services PC Family CurrentSince Oct 17, 2025 Accepting new patients
Altea Medical Georgia PC CurrentSince Mar 20, 2025 Accepting new patients
Pruitthealth Hospice, Inc. CurrentSince Dec 14, 2025 Accepting new patients
Pruitthealth Hospice, Inc. CurrentSince Dec 14, 2025 Accepting new patients
Post Acute Medical PLLC CurrentSince May 29, 2025 Accepting new patients
Monogram Health Professional Services PC Family CurrentSince Oct 17, 2025 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.

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

Verify at the official NPI Registry.