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

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: July 26, 2026.

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

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
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Molina Healthcare.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 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.

Other Providers at the Same Location NPPES 4

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

COLLEEN BRADLEY
Physician Assistant
2734 BEAVER RUN BLVD UNIT D
SURFSIDE BEACH, SC 29575
Horry County (469) 353-4042
MS. STEPHANIE HELBECK CORNFIELD MSW
Social Worker (Clinical)
2734 BEAVER RUN BLVD UNIT D
MYRTLE BEACH, SC 29575
Horry County (843) 650-1085
COASTAL CAROLINA BEHAVIORAL HEALTH, INC.
Psychiatry & Neurology (Psychiatry)
2734 BEAVER RUN BLVD UNIT D
SURFSIDE BEACH, SC 29575
Horry County (843) 650-1085
MS. LENA MARGARET TINDALL APRN
Nurse Practitioner (Psychiatric/Mental Health)
2734 BEAVER RUN BLVD UNIT D
MYRTLE BEACH, SC 29575
Horry County (843) 650-1085

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.

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.

What insurance does Coastal Carolina Behavioral Health, Inc. accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Molina Healthcare list Coastal Carolina Behavioral Health, Inc. 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 Behavioral Health, Inc. was last updated on October 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.