OrganizationActive
Grand Strand Plastic & Reconstructive Surgery Center PA
NPI 1619157294 · Specialist · Myrtle Beach, SC
Grand Strand Plastic & Reconstructive Surgery Center PA is a Specialist organization in Myrtle Beach, SC (NPI 1619157294).
Provider details
- NPI number
- 1619157294
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Parent organization
- Grand Strand Plastic and Reconstructive Surgery Center, P.A.
- Organization subpart
- Yes
- Authorized official
- Kimberley Goh, President(843) 497-2227
- License
- 15346 (SC)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
4610 Oleander Dr
Suite 101
Myrtle Beach, SC 29577-5752
Phone: (843) 497-2227
Fax: (843) 449-9265
Street-level locationGet directions
Mailing address
4610 Oleander Dr
Myrtle Beach, SC 29577-5752
Other names (DBA / former)
- Doing business as
- Grand Strand Plastic Surgery
- Doing business as
- Grand Strand Plastic and Reconstructive Surgery Center, P.A.
Registry dates
- Enumerated
- 2007-11-12
- Last updated
- 2025-03-02
- Certified
- 2025-03-02
Frequently asked questions
- What is Grand Strand Plastic & Reconstructive Surgery Center PA's NPI number?
- Grand Strand Plastic & Reconstructive Surgery Center PA's National Provider Identifier (NPI) is 1619157294, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Strand Plastic & Reconstructive Surgery Center PA?
- Grand Strand Plastic & Reconstructive Surgery Center PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Grand Strand Plastic & Reconstructive Surgery Center PA located?
- Grand Strand Plastic & Reconstructive Surgery Center PA's practice location on file with NPPES is 4610 Oleander Dr, Myrtle Beach, SC 29577-5752.
- What is Grand Strand Plastic & Reconstructive Surgery Center PA's phone number?
- The practice phone number listed in the NPPES registry for Grand Strand Plastic & Reconstructive Surgery Center PA is (843) 497-2227.
- Who is the authorized official for Grand Strand Plastic & Reconstructive Surgery Center PA?
- The authorized official listed on Grand Strand Plastic & Reconstructive Surgery Center PA's NPPES record is Kimberley Goh, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Strand Plastic & Reconstructive Surgery Center PA's NPI active?
- Yes — Grand Strand Plastic & Reconstructive Surgery Center PA's NPI (1619157294) is active in the NPPES registry as of the last update on 2025-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.