Coastal Carolina Primary Care, LLC
NPI 1821257676 · Endocrinology, Diabetes & Metabolism Physician · Myrtle Beach, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coastal Carolina Primary Care, LLC is a Endocrinology, Diabetes & Metabolism Physician organization in Myrtle Beach, SC (NPI 1821257676).
Provider details
- NPI number
- 1821257676
- Entity type
- Organization
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Johnson, Vice President(615) 372-3375
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Profile Score
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
2 documented practice locations
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
Additional practice locations (1)
- 9221 University Blvd Ste 102North Charleston, SC 29406-9148Phone: (843) 576-0700Fax: (866) 302-2249
Registry dates
- Enumerated
- 2008-06-06
- Last updated
- 2021-12-29
- Certified
- 2021-12-29
Frequently asked questions
- What is Coastal Carolina Primary Care, LLC's NPI number?
- Coastal Carolina Primary Care, LLC's National Provider Identifier (NPI) is 1821257676, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Carolina Primary Care, LLC?
- Coastal Carolina Primary Care, LLC is classified in the NPPES registry as Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Coastal Carolina Primary Care, LLC located?
- Coastal Carolina Primary Care, LLC's practice location on file with NPPES is 920 Doug White Dr Ste 250, Myrtle Beach, SC 29572-4181.
- What is Coastal Carolina Primary Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Coastal Carolina Primary Care, LLC is (843) 236-1950.
- Does Coastal Carolina Primary Care, LLC accept Medicare?
- Coastal Carolina Primary Care, 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 Carolina Primary Care, LLC?
- The authorized official listed on Coastal Carolina Primary Care, LLC's NPPES record is William Johnson, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Carolina Primary Care, LLC's NPI active?
- Yes — Coastal Carolina Primary Care, LLC's NPI (1821257676) is active in the NPPES registry as of the last update on 2021-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.