Coastal Recovery of South Carolina

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COASTAL RECOVERY OF SOUTH CAROLINA

Practice address

201 Business Center Dr
Pawleys Island, SC 29585-6522

Phone

(888) 467-1117

NPI assigned

Jan 30, 2012

Last updated

Sep 24, 2015By 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. Gerald Francis Congdon, M.D.NPI 1568446326

Title

Managing Physician

Phone

(888) 467-1117

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Gerald Francis Congdon, MD

  • Family Medicine Physician
  • Pawley's Island, SC
  • NPI 1568446326
  NPD Authorized official

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1639441223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BUSINESS CENTER DR",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295856522",
            "telephone_number": "888-467-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BUSINESS CENTER DR",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295856522",
            "telephone_number": "888-467-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL RECOVERY OF SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "CONGDON",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "888-467-1117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Endontics, LLC
• Coastal Hearing Center Inc
• Coastal Home Care (American HomePatient)
• Coastal Med, LLC
• Coastal Physical Therapy Group, LLC
• Coastal Urgent Care & Family Medicine
• Coastal Vision Center Inc (Pawleys Eye Associates)
• Kristen Cochran
• Cochrane Family and Cosmetic Dentistry LLC
• Kendall Nicole Cochrane

• Clinic/Center in Pawley's Island, SC
• Providers in Pawley's Island, SC by specialty
• Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.