Coastal Pediatric Associates, P.A.
NPI 1770700759ActiveOrganization· Pediatrics· Charleston, SC
Pediatrics in Charleston, South Carolina, registered in NPPES in April 2007. The authorized official on file is Robert Andrew Clifford, M.D., Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770700759 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 19, 2007 |
| Last updated in NPPES | Aug 2, 2022 |
| Certified by provider | Aug 2, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
| Psychologist, Health Service | 103TH0100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SC) |
|---|
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