Coastal Dermatology Institute LLC
NPI 1174122444 · MOHS-Micrographic Surgery Physician · Myrtle Beach, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coastal Dermatology Institute LLC is a MOHS-Micrographic Surgery Physician organization in Myrtle Beach, SC (NPI 1174122444).
Provider details
- NPI number
- 1174122444
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Centilli, Owner(517) 203-6532
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
5 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
- 2020-10-19
- Last updated
- 2021-06-02
- Certified
- 2021-06-02
Frequently asked questions
- What is Coastal Dermatology Institute LLC's NPI number?
- Coastal Dermatology Institute LLC's National Provider Identifier (NPI) is 1174122444, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Dermatology Institute LLC?
- Coastal Dermatology Institute LLC is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Coastal Dermatology Institute LLC located?
- Coastal Dermatology Institute LLC's practice location on file with NPPES is 199 Village Center Blvd Ste 200, Myrtle Beach, SC 29579-3589.
- What is Coastal Dermatology Institute LLC's phone number?
- The practice phone number listed in the NPPES registry for Coastal Dermatology Institute LLC is (843) 738-0500.
- Does Coastal Dermatology Institute LLC accept Medicare?
- Coastal Dermatology Institute 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 Dermatology Institute LLC?
- The authorized official listed on Coastal Dermatology Institute LLC's NPPES record is Michael Centilli, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Dermatology Institute LLC's NPI active?
- Yes — Coastal Dermatology Institute LLC's NPI (1174122444) is active in the NPPES registry as of the last update on 2021-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.