COASTAL CAROLINA BEHAVIORAL HEALTH, INC.
NPI 1811622277
Psychiatry & Neurology - Psychiatry in Surfside Beach, SC

Q: What is Coastal Carolina Behavioral Health, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since July 20, 2022CLIA 42D2282746 · Certificate of Compliance

2734 BEAVER RUN BLVD UNIT D, SURFSIDE BEACH, SC 29575(843) 650-1085(843) 650-1088 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2023, Sep 27, 2022, Aug 24, 2022 and 2 more (5 updates tracked since 2022).

On this page

About Coastal Carolina Behavioral Health, Inc. NPPES

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

COASTAL CAROLINA BEHAVIORAL HEALTH, INC. (NPI 1811622277) is a healthcare organization registered as a psychiatry in Surfside Beach, South Carolina and active in the NPI registry since July 2022. The organization holds a CLIA Certificate of Compliance certificate valid through July 15, 2027, maintains a secondary practice location in Conway, and lists Samantha Giermann, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1811622277

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameCOASTAL CAROLINA BEHAVIORAL HEALTH, INC.

Location Address2734 BEAVER RUN BLVD UNIT DSurfside Beach, SC 29575-5392

Mailing Address2734 Beaver Run Blvd Unit DSurfside Beach, SC 29575-5392 · (843) 650-1085 · Fax (843) 650-1088

Phone(843) 650-1085

Fax(843) 650-1088

Organization SubpartNo

Authorized OfficialSamantha GiermannOffice Manager · (910) 382-4082

Enumeration DateJuly 20, 2022

Last NPPES UpdateOctober 28, 20255 updates tracked since enumeration

NPPES CertifiedOctober 28, 2025

✔ NPI 1811622277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

2734 BEAVER RUN BLVD UNIT D, Surfside Beach, SC 29575

Open in Google Maps ↗

Secondary Practice Location 1

Location 1901 16th AveConway, SC 29526-3013 · Phone (843) 650-1085 ext. 2 · Fax (843) 650-1088

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

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 Behavioral Health, Inc. 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 Carolina Behavioral Health, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Eric Mizelle, MD

Psychiatry

NPI 1780737072

3737 GLENWOOD AVE SUITE 100
Raleigh, NC 27612

(919) 561-7999

✔ PECOS✔ Accepts Medicare152 mi

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 Compliance 42D2282746

Coastal Carolina Behavioral Health · Myrtle Beach, SC

Active · expires Jul 15, 2027

CLIA Number42D2282746

Laboratory TypePhysician Office

Certificate Effective DateJuly 16, 2025

Certificate Expiration DateJuly 15, 2027

Laboratory DirectorJoe Owens

Laboratory Phone(843) 650-1085

Laboratory LocationCoastal Carolina Behavioral Health2734 Beaver Run Blvd, Myrtle Beach, SC 29575

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Behavioral Health, Inc.'s NPI number?

The NPI number for Coastal Carolina Behavioral Health, Inc. is 1811622277. It was assigned to this organization in the NPPES registry on July 20, 2022.

Where is Coastal Carolina Behavioral Health, Inc. located?

Coastal Carolina Behavioral Health, Inc. is located at 2734 Beaver Run Blvd Unit D, Surfside Beach, SC 29575. The listed phone number is (843) 650-1085.

What is Coastal Carolina Behavioral Health, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Coastal Carolina Behavioral Health, Inc. enrolled in Medicare?

Yes. Coastal Carolina Behavioral Health, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Carolina Behavioral Health, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Coastal Carolina Behavioral Health, Inc.. 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.

Does Coastal Carolina Behavioral Health, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 42D2282746) is associated with this NPI, valid through July 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coastal Carolina Behavioral Health, Inc. was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.