COASTAL RENAL CARE
NPI 1457143091
Internal Medicine - Nephrology in Myrtle Beach, SC

Active since May 20, 2025
929 MEDICAL CIR, MYRTLE BEACH, SC 29572(843) 999-5042(843) 839-0018 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 9, 2026, Dec 9, 2025, May 20, 2025 (3 updates tracked since 2025).

About Coastal Renal Care NPPES

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

COASTAL RENAL CARE (NPI 1457143091) is a healthcare organization registered as a nephrology in Myrtle Beach, South Carolina and active in the NPI registry since May 2025. The organization maintains a secondary practice location in Myrtle Beach and lists Jennifer Clifton, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1457143091
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameCOASTAL RENAL CARE
Location Address929 MEDICAL CIRMyrtle Beach, SC 29572-4116
Mailing Address929 Medical CirMyrtle Beach, SC 29572-4116 · (843) 999-5042 · Fax (843) 839-0018
Fax(843) 839-0018
Organization SubpartNo
Authorized OfficialJennifer CliftonPractice Administrator · (843) 340-7747
Enumeration DateMay 20, 2025
Last NPPES UpdateMarch 9, 20263 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1457143091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
929 MEDICAL CIR, Myrtle Beach, SC 29572

Secondary Practice Location 1

Location 13573 St James AveMyrtle Beach, SC 29577 · Phone (843) 236-0113 · Fax (760) 645-7120

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

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 Renal Care 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 Renal Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nephrology
NPI 1710088356
929 MEDICAL CIR
Myrtle Beach, SC 29572
(843) 999-5042
✔ 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 Renal Care's NPI number?

The NPI number for Coastal Renal Care is 1457143091. It was assigned to this organization in the NPPES registry on May 20, 2025.

Where is Coastal Renal Care located?

Coastal Renal Care is located at 929 Medical Cir, Myrtle Beach, SC 29572. The listed phone number is (843) 999-5042.

What is Coastal Renal Care's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Coastal Renal Care enrolled in Medicare?

Yes. Coastal Renal Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Renal Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Coastal Renal Care. 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 Renal Care accept?

Health plans from BlueCross BlueShield of South Carolina list Coastal Renal Care 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 Renal Care was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.