Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COASTAL NEUROLOGY, P.A.
NPI 1750346789
Psychiatry & Neurology - Neurology in Port Royal, SC

Active since April 20, 2006CLIA 42D1023300 · Waiver
1833 N. PARIS AVENUE, PORT ROYAL, SC 29935(843) 522-1420(843) 522-1460 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2025, May 22, 2025, Jan 10, 2023 and 1 more (4 updates tracked since 2022).

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

NPI1750346789
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameCOASTAL NEUROLOGY, P.A.
Location Address1833 N. PARIS AVENUEPort Royal, SC 29935-2029
Mailing Address1833 N Paris AvePort Royal, SC 29935-2029 · (843) 522-1420 · Fax (843) 522-1460
Fax(843) 522-1460
Organization SubpartNo
Authorized OfficialPaul MazzeoPresident · (843) 522-1420
Enumeration DateApril 20, 2006
Last NPPES UpdateJune 10, 20264 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
NPI 1750346789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
1833 N. PARIS AVENUE, Port Royal, SC 29935

Secondary Practice Location 1

Location 1122 Okatie Center Blvd N Ste 240Okatie, SC 29909-3782 · Phone (843) 522-1420 · Fax (843) 522-1460

Other Identifiers 1

MedicaidGP1188SC

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 Waiver 42D1023300

Coastal Neurology · Port Royal, SC
Active · expires Mar 11, 2028
CLIA Number42D1023300
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorPaul Mazzeo
Laboratory Phone(843) 522-1420
Laboratory LocationCoastal Neurology1833 N Paris Avenue, Port Royal, SC 29935
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
1833 N. PARIS AVENUE
PORT ROYAL, SC 29935
Nurse Practitioner (Adult Health)
1833 N. PARIS AVENUE
PORT ROYAL, SC 29935

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 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.

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 Ambetter from Absolute Total Care and Ambetter of North 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 57 days 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.