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: July 19, 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.Information from the official NPPES registry record, last updated September 2, 2025.

NPPES Registry Identity

NPI1336169531
Entity TypeOrganization
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. How NPI validation works

Primary Specialty

Internal Medicine · Hematology & Oncology

Taxonomy 207RH0003X · Allopathic & Osteopathic Physicians

Licensed in SC · 11181

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… Show more

4620 HIGHWAY 17, Murrells Inlet, SC 29576

Also on File with NPPES

Other Names1
Coastal Cancer Center (Doing Business As)
Other Identifiers2
GP2749 (Medicaid, SC)
8902481 (Medicaid, NC)

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20666621
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Provider Type List
PHYSICIAN – HEMATOLOGY/ONCOLOGY.
Competitive Bidding
NO

Supplies List

  • 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

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D0699945
Facility Type
Physician Office
Certificate Effective Date
February 24, 2025
Certificate Expiration Date
February 23, 2027
Laboratory Director
DEJUANIA A. BROWN-RAWLS
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Coastal Cancer Center, Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336169531, enumerated as an "organization" on July 20, 2006.

The provider is located at 4620 HIGHWAY 17 MURRELLS INLET, SC 29576 and the phone number is (843) 357-7357.

Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, Medicare. Please consult your insurance carrier or call the provider to verify.