COASTAL CAROLINA INFECTIOUS DISEASE, LLC
NPI 1265898191
Internal Medicine - Infectious Disease in Myrtle Beach, SC

Q: What is Coastal Carolina Infectious Disease, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Active since January 07, 2016

1110 LONDON ST STE 102, MYRTLE BEACH, SC 29577(843) 668-2376(843) 748-0613 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Coastal Carolina Infectious Disease, Llc NPPES

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

COASTAL CAROLINA INFECTIOUS DISEASE, LLC (NPI 1265898191) is a healthcare organization registered as an infectious disease in Myrtle Beach, South Carolina and active in the NPI registry since January 2016. The organization lists Marlene Thornhill, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1265898191

Entity TypeOrganization

Primary Taxonomy207RI0200X

Legal Business NameCOASTAL CAROLINA INFECTIOUS DISEASE, LLC

Location Address1110 LONDON ST STE 102Myrtle Beach, SC 29577

Mailing Address1110 London St Ste 102Myrtle Beach, SC 29577-5799 · (843) 668-2376 · Fax (843) 748-0613

Phone(843) 668-2376

Fax(843) 748-0613

Organization SubpartNo

Authorized OfficialMarlene ThornhillBilling Manager · (843) 668-2376

Enumeration DateJanuary 7, 2016

Last NPPES UpdateMay 17, 2018

✔ NPI 1265898191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

1110 LONDON ST STE 102, Myrtle Beach, SC 29577

Open in Google Maps ↗

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

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 ›

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 Carolina Infectious Disease, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Coastal Carolina Infectious Disease, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Yama Osmanzai, MD

Internal Medicine

NPI 1376593673

1110 LONDON ST STE 102
Myrtle Beach, SC 29577

(843) 668-2376

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Carolina Infectious Disease, LLC's NPI number?

The NPI number for Coastal Carolina Infectious Disease, LLC is 1265898191. It was assigned to this organization in the NPPES registry on January 7, 2016.

Where is Coastal Carolina Infectious Disease, LLC located?

Coastal Carolina Infectious Disease, LLC is located at 1110 London St Ste 102, Myrtle Beach, SC 29577. The listed phone number is (843) 668-2376.

What is Coastal Carolina Infectious Disease, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Coastal Carolina Infectious Disease, LLC enrolled in Medicare?

Yes. Coastal Carolina Infectious Disease, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Carolina Infectious Disease, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Coastal Carolina Infectious Disease, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Coastal Carolina Infectious Disease, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Coastal Carolina Infectious Disease, 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 Carolina Infectious Disease, LLC was last updated on May 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.