1. Home
  2. Directory
  3. South Carolina
  4. Myrtle Beach
  5. Psychiatry Neurology
  6. NPI Profile

CAPESIDE ADDICTION CARE, PLLC
NPI 1093280620
Psychiatry & Neurology - Addiction Medicine in Myrtle Beach, SC

Active since October 10, 2018
4889 HIGHWAY 17 BYP S, MYRTLE BEACH, SC 29577(843) 584-7011(843) 945-1355 Get Directions Write a Review

NPPES record last updated: October 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Capeside Addiction Care, Pllc NPPES

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

CAPESIDE ADDICTION CARE, PLLC (NPI 1093280620) is a healthcare organization registered as an addiction medicine in Myrtle Beach, South Carolina and active in the NPI registry since October 2018. The organization lists William Beasley, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1093280620
Entity TypeOrganization
Primary Taxonomy2084A0401X
Legal Business NameCAPESIDE ADDICTION CARE, PLLC
Location Address4889 HIGHWAY 17 BYP SMyrtle Beach, SC 29577-6683
Mailing Address311 4 E Judges RoadWilmington, NC 28405 · (910) 791-6767 · Fax (910) 399-2190
Phone(843) 584-7011
Fax(843) 945-1355
Organization SubpartNo
Authorized OfficialWilliam BeasleyChief Operating Officer · (910) 791-6767
Enumeration DateOctober 10, 2018
✔ NPI 1093280620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
4889 HIGHWAY 17 BYP S, Myrtle Beach, SC 29577
Open in Google Maps ↗

Other Identifiers 1

Medicaid1255323622NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Capeside Addiction Care, PLLC's NPI number?

The NPI number for Capeside Addiction Care, PLLC is 1093280620. It was assigned to this organization in the NPPES registry on October 10, 2018.

Where is Capeside Addiction Care, PLLC located?

Capeside Addiction Care, PLLC is located at 4889 Highway 17 Byp S, Myrtle Beach, SC 29577. The listed phone number is (843) 584-7011.

What is Capeside Addiction Care, PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

When was this NPI record last updated?

The NPPES record for Capeside Addiction Care, PLLC was last updated on October 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.