CAROLINA COASTAL FAMILY MEDICINE PA
NPI 1881905032
Clinic/Center - Primary Care in Myrtle Beach, SC

Active since June 23, 2010
1275 21ST AVE N, BUILDING 2, MYRTLE BEACH, SC 29577(843) 626-2847(843) 626-9206 Get Directions Write a Review

NPPES record last updated: June 23, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carolina Coastal Family Medicine Pa NPPES

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

CAROLINA COASTAL FAMILY MEDICINE PA (NPI 1881905032) is a healthcare organization registered as a primary care in Myrtle Beach, South Carolina and active in the NPI registry since June 2010. The organization lists Steven Kelly White, Owner, as its authorized official.

NPPES Registry Identity

NPI1881905032
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCAROLINA COASTAL FAMILY MEDICINE PA
Location Address1275 21ST AVE N, BUILDING 2Myrtle Beach, SC 29577-7429
Mailing Address1275 21st Ave N, Building 2Myrtle Beach, SC 29577-7429 · (843) 626-2847 · Fax (843) 626-9206
Fax(843) 626-9206
Organization SubpartNo
Authorized OfficialSteven Kelly WhiteOwner · (843) 626-2847
Enumeration DateJune 23, 2010
NPI 1881905032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in SC · 22830
1275 21ST AVE N, Myrtle Beach, SC 29577

Other Providers at the Same Location NPPES 3

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

Surgery (Plastic and Reconstructive Surgery)
1275 21ST AVE N, BUILD #1
MYRTLE BEACH, SC 29577
Specialist
1275 21ST AVE N
MYRTLE BEACH, SC 29577
Surgery (Plastic and Reconstructive Surgery)
1275 21ST AVE N
MYRTLE BEACH, SC 29577

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 Carolina Coastal Family Medicine PA's NPI number?

The NPI number for Carolina Coastal Family Medicine PA is 1881905032. It was assigned to this organization in the NPPES registry on June 23, 2010.

Where is Carolina Coastal Family Medicine PA located?

Carolina Coastal Family Medicine PA is located at 1275 21st Ave N Building 2, Myrtle Beach, SC 29577. The listed phone number is (843) 626-2847.

What is Carolina Coastal Family Medicine PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Carolina Coastal Family Medicine PA was last updated on June 23, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.