Ebbtide Comprehensive Care
NPI 1609561935 · Internal Medicine Physician · Charleston, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ebbtide Comprehensive Care is a Internal Medicine Physician organization in Charleston, SC (NPI 1609561935).
Provider details
- NPI number
- 1609561935
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Corynne Boyer, Owner/Physician(267) 226-0250
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Mailing address
Additional practice locations (2)
- 1064 Gardner Rd Ste 105-106Charleston, SC 29407-5768Phone: (843) 491-9960Fax: (843) 491-9955
- 110b Springhall DrGoose Creek, SC 29445-5335Phone: (843) 491-9960Fax: (843) 491-9955
Registry dates
- Enumerated
- 2023-04-11
- Last updated
- 2026-01-05
- Certified
- 2026-01-05
Frequently asked questions
- What is Ebbtide Comprehensive Care's NPI number?
- Ebbtide Comprehensive Care's National Provider Identifier (NPI) is 1609561935, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ebbtide Comprehensive Care?
- Ebbtide Comprehensive Care is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ebbtide Comprehensive Care located?
- Ebbtide Comprehensive Care's practice location on file with NPPES is 669 Marina Dr Ste A2, Charleston, SC 29492-7573.
- What is Ebbtide Comprehensive Care's phone number?
- The practice phone number listed in the NPPES registry for Ebbtide Comprehensive Care is (843) 491-9960.
- Does Ebbtide Comprehensive Care accept Medicare?
- Ebbtide Comprehensive Care is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ebbtide Comprehensive Care?
- The authorized official listed on Ebbtide Comprehensive Care's NPPES record is Corynne Boyer, Owner/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ebbtide Comprehensive Care's NPI active?
- Yes — Ebbtide Comprehensive Care's NPI (1609561935) is active in the NPPES registry as of the last update on 2026-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.