Coastal Wellness Center, LLC
NPI 1902077266 · Primary Care Clinic/Center · Myrtle Beach, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coastal Wellness Center, LLC is a Primary Care Clinic/Center organization in Myrtle Beach, SC (NPI 1902077266).
Provider details
- NPI number
- 1902077266
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gerald Congdon, Managing Physician(888) 467-1117
Specialties & taxonomies
Ambulatory Health Care Facilities
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)
- 201 Business Center Dr Ste BPawleys Island, SC 29585-6522Phone: (888) 467-1117Fax: (888) 990-3903
Registry dates
- Enumerated
- 2008-03-14
- Last updated
- 2019-03-06
Frequently asked questions
- What is Coastal Wellness Center, LLC's NPI number?
- Coastal Wellness Center, LLC's National Provider Identifier (NPI) is 1902077266, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Wellness Center, LLC?
- Coastal Wellness Center, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Coastal Wellness Center, LLC located?
- Coastal Wellness Center, LLC's practice location on file with NPPES is 4955 Highway 17 Byp S, Myrtle Beach, SC 29577-6684.
- What is Coastal Wellness Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Coastal Wellness Center, LLC is (888) 403-2444.
- Does Coastal Wellness Center, LLC accept Medicare?
- Coastal Wellness Center, 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 Wellness Center, LLC?
- The authorized official listed on Coastal Wellness Center, LLC's NPPES record is Gerald Congdon, Managing Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Wellness Center, LLC's NPI active?
- Yes — Coastal Wellness Center, LLC's NPI (1902077266) is active in the NPPES registry as of the last update on 2019-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.