Coastal Med Spa, LLC
NPI 1134090582 · Public Health & General Preventive Medicine Physician · Myrtle Beach, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coastal Med Spa, LLC is a Public Health & General Preventive Medicine Physician organization in Myrtle Beach, SC (NPI 1134090582).
Provider details
- NPI number
- 1134090582
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Laura Rice, Authorized Official(843) 796-1769
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2025-09-17
- Last updated
- 2025-09-17
- Certified
- 2025-09-17
Frequently asked questions
- What is Coastal Med Spa, LLC's NPI number?
- Coastal Med Spa, LLC's National Provider Identifier (NPI) is 1134090582, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Med Spa, LLC?
- Coastal Med Spa, LLC is classified in the NPPES registry as Public Health & General Preventive Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Coastal Med Spa, LLC located?
- Coastal Med Spa, LLC's practice location on file with NPPES is 4006 Postal Way Unit a, Myrtle Beach, SC 29579-3527.
- What is Coastal Med Spa, LLC's phone number?
- The practice phone number listed in the NPPES registry for Coastal Med Spa, LLC is (843) 796-1769.
- Does Coastal Med Spa, LLC accept Medicare?
- Coastal Med Spa, 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 Coastal Med Spa, LLC?
- The authorized official listed on Coastal Med Spa, LLC's NPPES record is Laura Rice, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Med Spa, LLC's NPI active?
- Yes — Coastal Med Spa, LLC's NPI (1134090582) is active in the NPPES registry as of the last update on 2025-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.