COASTAL CANCER CENTER LLC
NPI 1205856556
Internal Medicine - Hematology & Oncology in Loris, SC

Active since July 20, 2006CLIA 42D0973322 · Certificate of Compliance
3008 BAYBORO ST, LORIS, SC 29569(843) 756-0932(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 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

NPI1205856556
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameCOASTAL CANCER CENTER LLC
Location Address3008 BAYBORO STLoris, SC 29569-2714
Mailing Address8121 Rourk StMyrtle Beach, SC 29572-4128 · (843) 692-5000 · Fax (843) 692-5015
Fax(843) 692-5015
Organization SubpartNo
Authorized OfficialVijay B PaudelPartner · (843) 692-5000
Enumeration DateJuly 20, 2006
Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
NPI 1205856556 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
3008 BAYBORO ST, Loris, SC 29569

Other Names 1

Doing Business AsCoastal Cancer Center

Other Identifiers 2

MedicaidGP2479SC
Medicaid7902490NC

Accepted 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 42D0973322

Associated Medical Specialists,pa Dba Coastal Cancer Center · Loris, SC
Active · expires Jan 29, 2027
CLIA Number42D0973322
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorDejuania A. Brown-Rawls
Laboratory Phone(843) 756-0932
Laboratory LocationAssociated Medical Specialists,pa Dba Coastal Cancer Center3008 Bayboro Street, Loris, SC 29569
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.

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 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.

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 with the weekly NPPES data releases published by CMS.