DOC AT THE DOOR – NPI #1942522719
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

DOC AT THE DOOR is a provider located in LADSON, SC. NPPES has assigned the NPI number 1942522719 to DOC AT THE DOOR on February 22, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DOC AT THE DOOR” is a dba name, the actual legal business name for this organization is COASTAL CAROLINA PRIMARY CARE, LLC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 16 years ago on May 05, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DOC AT THE DOOR below.

NPI Profile for
COASTAL CAROLINA PRIMARY CARE, LLC

NPI Number
1942522719
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COASTAL CAROLINA PRIMARY CARE, LLC
Doing Business As (dba): DOC AT THE DOOR
Primary location
3601 LADSON RD
SUITE 101
LADSON, SC 29456-4304
Phone: (843) 821-0733 Fax: (843) 821-0925
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WAYNE WINNEY
VICE PRESIDENT
Phone: (843) 847-4054
Updated
Identifiers

Identifiers for DOC AT THE DOOR

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSC1942522719
MEDICAIDSCGP5390
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.