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: October 18, 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
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

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 Cancer Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Coastal Cancer Center LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 4

Hematology/Oncology8
Nurse Practitioner7
Radiation Oncology4
Hospitalist1

Clinicians, nearest first (20)

Radiation Oncology
NPI 1942769997
4708 OLEANDER DR
Myrtle Beach, SC 29577
(843) 449-9415
✔ PECOS✔ Accepts Medicare
Radiation Oncology
NPI 1568444529
4708 OLEANDER DR
Myrtle Beach, SC 29577
(843) 449-9415
✔ PECOS✔ Accepts Medicare
Nurse Practitioner
NPI 1952558215
8121 ROURK STREET
Myrtle Beach, SC 29572
(843) 692-5000
✔ PECOS✔ Accepts Medicare
Hematology/Oncology
NPI 1730379132
8121 ROURK ST
Myrtle Beach, SC 29572
(843) 692-5000
✔ PECOS✔ Accepts Medicare
Hospitalist
NPI 1629499561
8121 ROURK ST
Myrtle Beach, SC 29572
(843) 692-5000
✔ PECOS✔ Accepts Medicare
Radiation Oncology
NPI 1609873785
4708 OLEANDER DR
Myrtle Beach, SC 29577
(843) 449-9415
✔ PECOS✔ Accepts Medicare
Hematology/Oncology
NPI 1679566178
8121 ROURK ST
Myrtle Beach, SC 29572
(843) 692-5000
✔ PECOS✔ Accepts Medicare
Hematology/Oncology
NPI 1013200328
8121 ROURK ST
Myrtle Beach, SC 29572
(843) 692-5000
✔ PECOS✔ Accepts Medicare
Nurse Practitioner
NPI 1003429259
8121 ROURK ST
Myrtle Beach, SC 29572
(843) 692-5000
✔ PECOS✔ Accepts Medicare
Hematology/Oncology
NPI 1114319803
8121 ROURK ST
Myrtle Beach, SC 29572
(843) 692-5000
✔ PECOS✔ Accepts Medicare
Hematology/Oncology
NPI 1023499076
817 FARRAR DR
Conway, SC 29526
(843) 234-1660
✔ PECOS✔ Accepts Medicare
Hematology/Oncology
NPI 1972596484
8121 ROURK ST
Myrtle Beach, SC 29572
(843) 692-5000
✔ PECOS✔ Accepts Medicare
Nurse Practitioner
NPI 1578840393
8121 ROURK ST
Myrtle Beach, SC 29572
(843) 692-5000
✔ PECOS✔ Accepts Medicare
Nurse Practitioner
NPI 1699943399
8121 ROURK ST
Myrtle Beach, SC 29572
(843) 692-5000
✔ PECOS✔ Accepts Medicare
Hematology/Oncology
NPI 1528527546
8121 ROURK ST
Myrtle Beach, SC 29572
(843) 692-5000
✔ PECOS✔ Accepts Medicare
Nurse Practitioner
NPI 1144818600
8121 ROURK ST
Myrtle Beach, SC 29572
(843) 692-5000
✔ PECOS✔ Accepts Medicare
Nurse Practitioner
NPI 1801169230
817 FARRAR DR
Conway, SC 29526
(843) 234-1660
✔ PECOS✔ Accepts Medicare
Hematology/Oncology
NPI 1053577718
8121 ROURK ST
Myrtle Beach, SC 29572
(843) 692-5000
✔ PECOS✔ Accepts Medicare
Nurse Practitioner
NPI 1639669088
8121 ROURK ST
Myrtle Beach, SC 29572
(843) 692-5000
✔ PECOS✔ Accepts Medicare
Radiation Oncology
NPI 1245593235
4708 OLEANDER DR
Myrtle Beach, SC 29577
(843) 449-9415
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Coastal Cancer Center LLC enrolled in Medicare?

Yes. Coastal Cancer Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Cancer Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 4 Medicare specialties reassign their Medicare billing to Coastal Cancer Center LLC. 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. The largest specialties are Hematology/Oncology (8), Nurse Practitioner (7) and Radiation Oncology (4). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.