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Coastal Carolina Primary Care, LLC

Family Medicine Physician in Ladson, SC · enumerated 2010 · authorized official Wayne Winney, Vice President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1942522719

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Registry record

Entity type Organization (Type 2)
Legal business name Coastal Carolina Primary Care, LLC
Other name <Unavail>
Practice address 3601 Ladson Rd, Suite 101, Ladson, SC, 29456
Phone (843) 821-0733
Fax (843) 821-0925
Enumeration date Feb 22, 2010
Last updated in NPPES May 5, 2010

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Wayne Winney
Title Vice President
Phone (843) 847-4054

Other identifiers

Identifier Type State Issuer
1942522719 Medicaid SC -
GP5390 Medicaid SC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-05-05. Verify at npiregistry.cms.hhs.gov.
Where is Coastal Carolina Primary Care, LLC located?
The practice location on file with NPPES is in Ladson, SC.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-05-05.