OrganizationActive
Coastal Carolina Nephrology LLC
NPI 1679554752 · Nephrology Physician · Charleston, SC
Provider details
- NPI number
- 1679554752
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Stewart, Partner(843) 554-9313
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1938-A Charlie Hall Blvd
Charleston, SC 29414-5837
Phone: (843) 554-9313
Fax: (843) 744-5961
Street-level locationGet directions
Mailing address
1938-A Charlie Hall Blvd
Charleston, SC 29414-5837
Other names (DBA / former)
- Former legal business name
- Trident Nephrology LLC
Registry dates
- Enumerated
- 2005-11-07
- Last updated
- 2007-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.