COASTAL NEUROLOGY, P.A.
NPI 1750346789
Psychiatry & Neurology - Neurology in Port Royal, SC
About Coastal Neurology, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTAL NEUROLOGY, P.A. (NPI 1750346789) is a healthcare organization registered as a neurology in Port Royal, South Carolina and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through March 11, 2028, maintains a secondary practice location in Okatie, and lists Paul Mazzeo, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
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 Neurology, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Coastal Neurology, P.A., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Waiver 42D1023300
Coastal Neurology · Port Royal, SCFrequently 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 Neurology, P.A.'s NPI number?
The NPI number for Coastal Neurology, P.A. is 1750346789. It was assigned to this organization in the NPPES registry on April 20, 2006.
Where is Coastal Neurology, P.A. located?
Coastal Neurology, P.A. is located at 1833 N. Paris Avenue, Port Royal, SC 29935. The listed phone number is (843) 522-1420.
What is Coastal Neurology, P.A.'s specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Coastal Neurology, P.A. enrolled in Medicare?
Yes. Coastal Neurology, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coastal Neurology, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Coastal Neurology, P.A., in Clinical Social Worker, Neurology and Nurse Practitioner. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Coastal Neurology, P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 42D1023300) is associated with this NPI, valid through March 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Coastal Neurology, P.A. accept?
Health plans from BlueCross BlueShield of South Carolina list Coastal Neurology, P.A. 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 Neurology, P.A. was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Coastal Neurology, P.a. · NPI 1750346789
Neurology organization in Port Royal, South Carolina. Organization record, active in the CMS NPPES registry since April 20, 2006.
## Identity
- **NPI:** 1750346789 (Entity type: Organization)
- **Enumerated:** April 20, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **Organization subpart:** No
- **Authorized official:** Paul Mazzeo, PRESIDENT
## Practice location
- **Address:** 1833 N. PARIS AVENUE, Port Royal, SC 29935-2029
- **Phone:** (843) 522-1420 · **Fax:** (843) 522-1460
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Clinical Social Worker (1), Neurology (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 10, 2026
- **Other identifiers:** Medicaid GP1188 (SC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1750346789) · Data from the CMS NPPES public registry.