OrganizationActive
Coastal Podiatry, LLC
NPI 1659648152 · Podiatrist · Mount Pleasant, SC
Coastal Podiatry, LLC is a Podiatrist organization in Mount Pleasant, SC (NPI 1659648152).
Provider details
- NPI number
- 1659648152
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Tamika Bolden Ravenell, Owner(916) 215-1234
- License
- 607 (SC)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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: (916) 215-1234
Fax: (843) 606-2483
Street-level locationGet directions
Mailing address
Po Box 783
Mount Pleasant, SC 29465-0783
Registry dates
- Enumerated
- 2011-11-28
- Last updated
- 2013-12-13
Frequently asked questions
- What is Coastal Podiatry, LLC's NPI number?
- Coastal Podiatry, LLC's National Provider Identifier (NPI) is 1659648152, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Podiatry, LLC?
- Coastal Podiatry, LLC is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Coastal Podiatry, LLC located?
- Coastal Podiatry, LLC's practice location on file with NPPES is 180 Wingo Way, Mount Pleasant, SC 29464-1810.
- What is Coastal Podiatry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Coastal Podiatry, LLC is (916) 215-1234.
- Who is the authorized official for Coastal Podiatry, LLC?
- The authorized official listed on Coastal Podiatry, LLC's NPPES record is Tamika Bolden Ravenell, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Podiatry, LLC's NPI active?
- Yes — Coastal Podiatry, LLC's NPI (1659648152) is active in the NPPES registry as of the last update on 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.