COASTAL CANCER CENTER LLC
NPI 1205856556
Internal Medicine - Hematology & Oncology in Loris, SC
About Coastal Cancer Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTAL CANCER CENTER LLC (NPI 1205856556), doing business as Coastal Cancer Center, is a healthcare organization registered as a hematology & oncology in Loris, South Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through January 29, 2027 and lists Vijay B Paudel, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Coastal Cancer Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Coastal Cancer Center LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (20)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 42D0973322
Associated Medical Specialists,pa Dba Coastal Cancer Center · Loris, SCFrequently 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 1205856556. 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 3008 Bayboro St, Loris, SC 29569. The listed phone number is (843) 756-0932.
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.
Is Coastal Cancer Center LLC enrolled in Medicare?
Yes. Coastal Cancer Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coastal Cancer Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 4 Medicare specialties reassign their Medicare billing to Coastal Cancer Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Hematology/Oncology (8), Nurse Practitioner (7) and Radiation Oncology (4). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Coastal Cancer Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 42D0973322) is associated with this NPI, valid through January 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Coastal Cancer Center Llc · NPI 1205856556
Hematology & Oncology organization in Loris, South Carolina. Organization record, active in the CMS NPPES registry since July 20, 2006.
## Identity
- **NPI:** 1205856556 (Entity type: Organization)
- **Enumerated:** July 20, 2006
- **Primary specialty:** Internal Medicine - Hematology & Oncology · taxonomy 207RH0003X
- **Also known as:** COASTAL CANCER CENTER (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Vijay Paudel, PARTNER
## Practice location
- **Address:** 3008 BAYBORO ST, Loris, SC 29569-2714
- **Phone:** (843) 756-0932 · **Fax:** (843) 692-5015
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Hematology/Oncology (8), Nurse Practitioner (7), Radiation Oncology (4) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 2, 2025
- **Other identifiers:** Medicaid GP2479 (SC); Medicaid 7902490 (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205856556) · Data from the CMS NPPES public registry.