Ebbtide Comprehensive Care

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EBBTIDE COMPREHENSIVE CARE

Practice address

669 Marina Dr Ste A2
Charleston, SC 29492-7573

Phone

(843) 491-9960

Fax

(843) 491-9955

NPI assigned

Apr 11, 2023

Last updated

Jan 5, 2026By 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

Corynne Ann Boyer, DONPI 1912138983

Title

Owner/Physician

Phone

(267) 226-0250

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

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.

• Corynne Boyer, D.O.

  • Internal Medicine Physician
  • Goose Creek, SC
  • NPI 1912138983
  Medicare reassignment NPD Authorized official
• Brooke S. Plewinski, PA

  • Medical Physician Assistant
  • Charleston, SC
  • NPI 1902068984
  Medicare reassignment NPD

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1609561935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 MARINA DR STE A2",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294927573",
            "telephone_number": "843-491-9955",
            "fax_number": "843-491-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 MARINA DR STE A2",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294927573",
            "telephone_number": "843-491-9960",
            "fax_number": "843-491-9955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1064 Gardner Rd Ste 105-106",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294075768",
            "country_code": "US",
            "telephone_number": "843-491-9960",
            "fax_number": "843-491-9955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110B Springhall Dr",
            "address_purpose": "LOCATION",
            "city": "Goose Creek",
            "state": "SC",
            "postal_code": "294455335",
            "country_code": "US",
            "telephone_number": "843-491-9960",
            "fax_number": "843-491-9955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EBBTIDE COMPREHENSIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "CORYNNE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "267-226-0250",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Cooper Physician Group LLC (Novant Health West Ashley Internal Medicine)
• Robert S. Easterling, MD
• Sonya F Easterling, MA
• Julie Ann Eastman, CRNA
• Easy Talk Pediatrics, LLC
• Ebbtide Comprehensive Care, LLC
• Ebenezer Social Action and Community Development Enterprise (Ebenezer Senior Day Center)
• Sean Donald Eberhard, APRN
• Allie Eberly, MD
• Livy Fogle Eberly, PH.D.

• Internal Medicine Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.