Athena Consulting LLC
NPI 1679316889 · Internal Medicine Physician · North Charleston, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Athena Consulting LLC is a Internal Medicine Physician organization in North Charleston, SC (NPI 1679316889).
Provider details
- NPI number
- 1679316889
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tyler Stout, Manager(337) 315-7927
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Wound Care Registered Nurse163WW0000X
Nursing Service Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2024-06-15
- Last updated
- 2025-11-03
- Certified
- 2025-11-03
Frequently asked questions
- What is Athena Consulting LLC's NPI number?
- Athena Consulting LLC's National Provider Identifier (NPI) is 1679316889, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Athena Consulting LLC?
- Athena Consulting LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Athena Consulting LLC located?
- Athena Consulting LLC's practice location on file with NPPES is 3842 Leeds Ave Unit C, North Charleston, SC 29405-7460.
- What is Athena Consulting LLC's phone number?
- The practice phone number listed in the NPPES registry for Athena Consulting LLC is (843) 747-6634.
- Does Athena Consulting LLC accept Medicare?
- Athena Consulting LLC 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 Athena Consulting LLC?
- The authorized official listed on Athena Consulting LLC's NPPES record is Tyler Stout, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Athena Consulting LLC's NPI active?
- Yes — Athena Consulting LLC's NPI (1679316889) is active in the NPPES registry as of the last update on 2025-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.