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COASTAL CANCER CENTER LLC
NPI 1063432391
Internal Medicine - Hematology & Oncology in Conway, SC

Active since July 20, 2006
817 FARRAR DR, CONWAY, SC 29526(843) 234-1660(843) 692-5015 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 2, 2025, Feb 17, 2025 (2 updates tracked since 2025).

About Coastal Cancer Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL CANCER CENTER LLC (NPI 1063432391), doing business as Coastal Cancer Center, is a healthcare organization registered as a hematology & oncology in Conway, South Carolina and active in the NPI registry since July 2006. The organization lists Vijay Paudel, Partner, as its authorized official.

NPPES Registry Identity

NPI1063432391
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameCOASTAL CANCER CENTER LLC
Location Address817 FARRAR DRConway, SC 29526-8747
Mailing Address8121 Rourk StMyrtle Beach, SC 29572-4128 · (843) 692-5000 · Fax (843) 692-5015
Phone(843) 234-1660
Fax(843) 692-5015
Organization SubpartNo
Authorized OfficialVijay PaudelPartner · (843) 692-5000
Enumeration DateJuly 20, 2006
Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1063432391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in SC · 11181
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
817 FARRAR DR, Conway, SC 29526
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Other Names 1

Doing Business AsCoastal Cancer Center

Other Identifiers 2

Medicaid790248NNC
MedicaidGP2750SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 42D0252067

Associated Medical Specialists, PA Dba Coastal Cancer Center · Conway, SC
Expired · Jul 31, 2026
CLIA Number42D0252067
Laboratory TypePhysician Office
Certificate Effective DateOctober 2, 2023
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorDejuania A. Brown-Rawls
Laboratory Phone(843) 234-1660
Laboratory LocationAssociated Medical Specialists, PA Dba Coastal Cancer Center817 Farrar Drive, Conway, SC 29526
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIKHIL BALDEVBHAI PATEL M.D.
Internal Medicine (Hematology & Oncology)
817 FARRAR DR
CONWAY, SC 29526
Horry County (843) 234-1660
NANETTE C KELLY FNP-C
Nurse Practitioner (Family)
817 FARRAR DR
CONWAY, SC 29526
Horry County (843) 234-1660
MS. MEGAN JEAN STELJES FNP-BC
Nurse Practitioner (Family)
817 FARRAR DR
CONWAY, SC 29526
Horry County (843) 234-1660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Cancer Center LLC's NPI number?

The NPI number for Coastal Cancer Center LLC is 1063432391. It was assigned to this organization in the NPPES registry on July 20, 2006. The provider is doing business as Coastal Cancer Center.

Where is Coastal Cancer Center LLC located?

Coastal Cancer Center LLC is located at 817 Farrar Dr, Conway, SC 29526. The listed phone number is (843) 234-1660.

What is Coastal Cancer Center LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

What insurance does Coastal Cancer Center LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Coastal Cancer Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coastal Cancer Center LLC was last updated on September 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.