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COASTAL CAROLINA SURGICAL ASSOC
NPI 1831252477
Surgery - Vascular Surgery in Beaufort, SC

Active since December 18, 2006
1055 RIBAUT ROAD, SUITE 30, BEAUFORT, SC 29902(843) 524-8171(843) 525-6613 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Coastal Carolina Surgical Assoc NPPES

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

COASTAL CAROLINA SURGICAL ASSOC (NPI 1831252477) is a healthcare organization registered as a vascular surgery in Beaufort, South Carolina and active in the NPI registry since December 2006. The organization lists Lori Noel Mock, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1831252477
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameCOASTAL CAROLINA SURGICAL ASSOC
Location Address1055 RIBAUT ROAD, SUITE 30Beaufort, SC 29902-5447
Mailing Address1055 Ribaut Road, Suite 30Beaufort, SC 29902-5447 · (843) 524-8171 · Fax (843) 525-6613
Phone(843) 524-8171
Fax(843) 525-6613
Organization SubpartNo
Authorized OfficialLori Noel MockPractice Administrator · (843) 524-8171
Enumeration DateDecember 18, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1831252477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. STEPHEN RAY SISCO MD
Surgery
1055 RIBAUT ROAD, SUITE 30
BEAUFORT, SC 29902
Beaufort County (843) 524-8171

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 Surgical Assoc's NPI number?

The NPI number for Coastal Carolina Surgical Assoc is 1831252477. It was assigned to this organization in the NPPES registry on December 18, 2006.

Where is Coastal Carolina Surgical Assoc located?

Coastal Carolina Surgical Assoc is located at 1055 Ribaut Road Suite 30, Beaufort, SC 29902. The listed phone number is (843) 524-8171.

What is Coastal Carolina Surgical Assoc's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Coastal Carolina Surgical Assoc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.