OrganizationActive
Coastal Podiatry LLC
NPI 1588965586 · Podiatrist · Mount Pleasant, SC
Provider details
- NPI number
- 1588965586
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Tamika Bolden Ravenell, DPM/ Owner(916) 215-1234
- License
- POD 607 (SC)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
180 Wingo Way
Suite 201
Mount Pleasant, SC 29464-1810
Phone: (843) 856-5337
Fax: (843) 606-2483
Street-level locationGet directions
Mailing address
Po Box 783
Mount Pleasant, SC 29465-0783
Registry dates
- Enumerated
- 2010-11-07
- Last updated
- 2013-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.