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COASTAL CANCER CENTER LLC
NPI 1881614170
Internal Medicine - Hematology & Oncology in Myrtle Beach, SC

Active since July 20, 2006
8121 ROURK ST, MYRTLE BEACH, SC 29572(843) 692-5000(843) 692-5015 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 8, 2025, Sep 2, 2025, Feb 17, 2025 (3 updates tracked since 2025).

About Coastal Cancer Center Llc NPPES

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

COASTAL CANCER CENTER LLC (NPI 1881614170), doing business as Coastal Cancer Center, is a healthcare organization registered as a hematology & oncology in Myrtle Beach, South Carolina and active in the NPI registry since July 2006. The organization maintains 3 additional practice locations and lists Vijay Paudel, President, as its authorized official.

NPPES Registry Identity

NPI1881614170
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameCOASTAL CANCER CENTER LLC
Location Address8121 ROURK STMyrtle Beach, SC 29572-4128
Mailing Address8121 Rourk StMyrtle Beach, SC 29572-4128 · (843) 692-5000 · Fax (843) 692-5015
Phone(843) 692-5000
Fax(843) 692-5015
Organization SubpartNo
Authorized OfficialVijay PaudelPresident · (843) 692-5000
Enumeration DateJuly 20, 2006
Last NPPES UpdateSeptember 8, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1881614170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Other Names 1

Doing Business AsCoastal Cancer Center

Secondary Practice Locations 3

Location 14708 Oleander DrMyrtle Beach, SC 29577-5742 · Phone (843) 449-9415
Location 28059 Myrtle Trace DrConway, SC 29526-8946 · Phone (843) 692-5000
Location 34600 Wild Iris DrMyrtle Beach, SC 29577 · Phone (843) 449-9415 · Fax (843) 449-2160

Other Identifiers 4

MedicaidPG1908SC
MedicaidPG1907SC
Medicaid7902484NC
MedicaidPA8189SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

MARY TAYLOR BRITT JACKSON FNP
Nurse Practitioner (Family)
8121 ROURK ST
MYRTLE BEACH, SC 29572
Horry County (843) 692-5000
JORDAN ANDREW HENDERSON D.O.
Internal Medicine (Hematology & Oncology)
8121 ROURK ST
MYRTLE BEACH, SC 29572
Horry County (843) 692-5000
DR. EMILY ZARUHI TOULOUKIAN D.O.
Internal Medicine (Hematology & Oncology)
8121 ROURK ST
MYRTLE BEACH, SC 29572
Horry County (843) 692-5000
TANYA C BRALLEY P.A.
Physician Assistant (Medical)
8121 ROURK ST
MYRTLE BEACH, SC 29572
Horry County (843) 692-5000
DR. DAVID OLIVER DO
Internal Medicine (Hematology & Oncology)
8121 ROURK ST
MYRTLE BEACH, SC 29572
Horry County (843) 692-5000
LAURA MARIEL SEIPT NP
Nurse Practitioner (Acute Care)
8121 ROURK ST
MYRTLE BEACH, SC 29572
Horry County (843) 692-5000
FARIA ALI MD
Internal Medicine (Hematology & Oncology)
8121 ROURK ST
MYRTLE BEACH, SC 29572
Horry County (843) 692-5000
REBECCA DIANE CODY MD
Internal Medicine (Hematology & Oncology)
8121 ROURK ST
MYRTLE BEACH, SC 29572
Horry County (843) 692-5000

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 Cancer Center LLC's NPI number?

The NPI number for Coastal Cancer Center LLC is 1881614170. It was assigned to this organization in the NPPES registry on July 20, 2006. The provider is doing business as Coastal Cancer Center.

Where is Coastal Cancer Center LLC located?

Coastal Cancer Center LLC is located at 8121 Rourk St, Myrtle Beach, SC 29572. The listed phone number is (843) 692-5000.

What is Coastal Cancer Center LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

What insurance does Coastal Cancer Center LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Coastal Cancer Center LLC 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 Cancer Center LLC was last updated on September 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.