COASTAL CANCER CENTER, LLC
NPI 1336169531
Internal Medicine - Hematology & Oncology in Murrells Inlet, SC

Active since July 20, 2006CLIA 42D0699945 · Certificate of Compliance
4620 HIGHWAY 17, MURRELLS INLET, SC 29576(843) 357-7357(843) 692-5015 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 2, 2025, Jun 2, 2025, Mar 25, 2025 and 1 more (4 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 1336169531), doing business as Coastal Cancer Center, is a healthcare organization registered as a hematology & oncology in Murrells Inlet, South Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through February 23, 2027 and lists Vijay Paudel, Partner, as its authorized official.

NPPES Registry Identity

NPI1336169531
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameCOASTAL CANCER CENTER, LLC
Location Address4620 HIGHWAY 17Murrells Inlet, SC 29576-5016
Mailing Address8121 Rourk StMyrtle Beach, SC 29572-4128 · (843) 692-5000 · Fax (843) 692-5015
Fax(843) 692-5015
Organization SubpartYesParent: Coastal Cancer Center Llc
Authorized OfficialVijay PaudelPartner · (843) 692-5000
Enumeration DateJuly 20, 2006
Last NPPES UpdateSeptember 2, 20254 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
NPI 1336169531 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
4620 HIGHWAY 17, Murrells Inlet, SC 29576

Other Names 1

Doing Business AsCoastal Cancer Center

Other Identifiers 2

MedicaidGP2749SC
Medicaid8902481NC

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 42D0699945

Associated Medical Specialists, PA Dba Coastal Cancer Center · Murrells Inlet, SC
Active · expires Feb 23, 2027
CLIA Number42D0699945
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorDejuania A. Brown-Rawls
Laboratory Phone(843) 357-7357
Laboratory LocationAssociated Medical Specialists, PA Dba Coastal Cancer Center4620 Hwy 17 PO Box 2867, Murrells Inlet, SC 29576
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.

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Coastal Cancer Center carries, from the Medicare DMEPOS supplier directory.

Coastal Cancer Center

DMEPOS supplier · Myrtle Beach, SCOperated by Associated Medical Specialists PA

Accepts Medicare assignment

Coastal Cancer Center agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20666621
Medicare Participant SinceJanuary 1, 1997
Supplier Location8121 Rourk StMyrtle Beach, SC 29572
Provider TypePhysician – Hematology/Oncology
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
External Infusion Pumps and/or Supplies
An infusion pump is necessary to safely administer the drug
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 1336169531. 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 4620 Highway 17, Murrells Inlet, SC 29576. The listed phone number is (843) 357-7357.

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 accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Coastal Cancer Center accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Coastal Cancer Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 42D0699945) is associated with this NPI, valid through February 23, 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 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 11 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.