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COASTAL CAROLINA ENT, DO, PA
NPI 1386989028
Otolaryngology - Facial Plastic Surgery in Little River, SC

Active since December 06, 2012
3806 SAWTELL RD, LITTLE RIVER, SC 29566(843) 663-9090(843) 663-9091 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Coastal Carolina Ent, Do, Pa NPPES

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

COASTAL CAROLINA ENT, DO, PA (NPI 1386989028) is a healthcare organization registered as a facial plastic surgery in Little River, South Carolina and active in the NPI registry since December 2012. The organization lists Wendy C. Paris, Insurance/billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1386989028
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameCOASTAL CAROLINA ENT, DO, PA
Location Address3806 SAWTELL RDLittle River, SC 29566-7873
Mailing Address302 Liberty StWhiteville, NC 28472-3714 · (910) 914-0540 · Fax (910) 914-0640
Phone(843) 663-9090
Fax(843) 663-9091
Organization SubpartYes
Authorized OfficialWendy C. ParisInsurance/billing Specialist · (910) 914-0540
Enumeration DateDecember 6, 2012
Last NPPES UpdateJune 17, 2024
NPPES CertifiedJune 17, 2024
✔ NPI 1386989028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in SC · DO 1480
Definition
An otolaryngologist who specializes in facial plastic surgery.
3806 SAWTELL RD, Little River, SC 29566
Open in Google Maps ↗

Other Identifiers 2

Other1689757007NC · Nc Npi
Other1386989028SC · Npi

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 Blue Cross and Blue Shield of NC, Cigna Healthcare.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 Ent, Do, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Coastal Carolina Ent, Do, PA, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Savannah Ward, FNP
Nurse Practitioner
NPI 1336856285
2298 OCEAN HWY W
Supply, NC 28462
(910) 755-3682
✔ PECOS✔ Accepts Medicare20 mi
Jeffrey Coury, DO
Otolaryngology
NPI 1740312487
333 JEFFERSON ST
Whiteville, NC 28472
(910) 914-0540
✔ PECOS✔ Accepts Medicare33 mi
James Dimuzio, DO
Otolaryngology
NPI 1306822424
333 JEFFERSON ST
Whiteville, NC 28472
(910) 914-0540
✔ PECOS✔ Accepts Medicare33 mi
Todd Stugart, MSN, APRN, BC
Nurse Practitioner
NPI 1033114863
2311 DELANEY AVE
Wilmington, NC 28403
(910) 762-8754
✔ PECOS49 mi

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 Ent, Do, PA's NPI number?

The NPI number for Coastal Carolina Ent, Do, PA is 1386989028. It was assigned to this organization in the NPPES registry on December 6, 2012.

Where is Coastal Carolina Ent, Do, PA located?

Coastal Carolina Ent, Do, PA is located at 3806 Sawtell Rd, Little River, SC 29566. The listed phone number is (843) 663-9090.

What is Coastal Carolina Ent, Do, PA's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Coastal Carolina Ent, Do, PA enrolled in Medicare?

Yes. Coastal Carolina Ent, Do, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Carolina Ent, Do, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Coastal Carolina Ent, Do, PA, in Nurse Practitioner and Otolaryngology. 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 Ent, Do, PA accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Coastal Carolina Ent, Do, PA 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 Ent, Do, PA was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.