Waccamaw Plastic Surgery, LLC
NPI 1790406189 · Plastic Surgery Physician · Myrtle Beach, SC
Waccamaw Plastic Surgery, LLC is a Plastic Surgery Physician organization in Myrtle Beach, SC (NPI 1790406189).
Provider details
- NPI number
- 1790406189
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brandon Coakley, Owner(843) 449-0453
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2022-09-06
- Last updated
- 2022-09-06
- Certified
- 2022-09-06
Frequently asked questions
- What is Waccamaw Plastic Surgery, LLC's NPI number?
- Waccamaw Plastic Surgery, LLC's National Provider Identifier (NPI) is 1790406189, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waccamaw Plastic Surgery, LLC?
- Waccamaw Plastic Surgery, LLC is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Waccamaw Plastic Surgery, LLC located?
- Waccamaw Plastic Surgery, LLC's practice location on file with NPPES is 917 Medical Cir, Myrtle Beach, SC 29572-4116.
- What is Waccamaw Plastic Surgery, LLC's phone number?
- The practice phone number listed in the NPPES registry for Waccamaw Plastic Surgery, LLC is (843) 449-0453.
- Who is the authorized official for Waccamaw Plastic Surgery, LLC?
- The authorized official listed on Waccamaw Plastic Surgery, LLC's NPPES record is Brandon Coakley, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waccamaw Plastic Surgery, LLC's NPI active?
- Yes — Waccamaw Plastic Surgery, LLC's NPI (1790406189) is active in the NPPES registry as of the last update on 2022-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.