Waccamaw Dermatology, LLC
NPI 1962449181 · Dermatology Physician · Myrtle Beach, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Waccamaw Dermatology, LLC is a Dermatology Physician organization in Myrtle Beach, SC (NPI 1962449181).
Provider details
- NPI number
- 1962449181
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brandon Coakley, Managing Partner(843) 449-0453
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
20 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
- 2006-05-31
- Last updated
- 2022-03-22
- Certified
- 2022-03-22
Frequently asked questions
- What is Waccamaw Dermatology, LLC's NPI number?
- Waccamaw Dermatology, LLC's National Provider Identifier (NPI) is 1962449181, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waccamaw Dermatology, LLC?
- Waccamaw Dermatology, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Waccamaw Dermatology, LLC located?
- Waccamaw Dermatology, LLC's practice location on file with NPPES is 917 Medical Circle, Myrtle Beach, SC 29572.
- What is Waccamaw Dermatology, LLC's phone number?
- The practice phone number listed in the NPPES registry for Waccamaw Dermatology, LLC is (843) 449-0453.
- Does Waccamaw Dermatology, LLC accept Medicare?
- Waccamaw Dermatology, 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 Waccamaw Dermatology, LLC?
- The authorized official listed on Waccamaw Dermatology, LLC's NPPES record is Brandon Coakley, Managing Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waccamaw Dermatology, LLC's NPI active?
- Yes — Waccamaw Dermatology, LLC's NPI (1962449181) is active in the NPPES registry as of the last update on 2022-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.