Tidewater Internal Medicine, LLC
NPI 1770510695 · Primary Care Clinic/Center · Charleston, SC
Tidewater Internal Medicine, LLC is a Primary Care Clinic/Center organization in Charleston, SC (NPI 1770510695).
Provider details
- NPI number
- 1770510695
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Laura Kinney, Managing Partner(843) 571-6868
- License
- 19466 (SC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-06-27
- Last updated
- 2007-10-04
Frequently asked questions
- What is Tidewater Internal Medicine, LLC's NPI number?
- Tidewater Internal Medicine, LLC's National Provider Identifier (NPI) is 1770510695, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidewater Internal Medicine, LLC?
- Tidewater Internal Medicine, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Tidewater Internal Medicine, LLC located?
- Tidewater Internal Medicine, LLC's practice location on file with NPPES is 2097 Henry Tecklenburg Dr, Charleston, SC 29414-5740.
- What is Tidewater Internal Medicine, LLC's phone number?
- The practice phone number listed in the NPPES registry for Tidewater Internal Medicine, LLC is (843) 571-6868.
- Who is the authorized official for Tidewater Internal Medicine, LLC?
- The authorized official listed on Tidewater Internal Medicine, LLC's NPPES record is Laura Kinney, Managing Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidewater Internal Medicine, LLC's NPI active?
- Yes — Tidewater Internal Medicine, LLC's NPI (1770510695) is active in the NPPES registry as of the last update on 2007-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.