WACCAMAW DERMATOLOGY, LLC
NPI 1962449181
Dermatology in Myrtle Beach, SC

Active since May 31, 2006
917 MEDICAL CIRCLE, MYRTLE BEACH, SC 29572(843) 449-0453(843) 282-1910 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Waccamaw Dermatology, Llc NPPES

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

WACCAMAW DERMATOLOGY, LLC (NPI 1962449181) is a healthcare organization registered as a dermatology in Myrtle Beach, South Carolina and active in the NPI registry since May 2006. The organization lists Brandon J. Coakley, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1962449181
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWACCAMAW DERMATOLOGY, LLC
Location Address917 MEDICAL CIRCLEMyrtle Beach, SC 29572
Mailing Address917 Medical CircleMyrtle Beach, SC 29572 · (843) 449-0453 · Fax (843) 282-1910
Fax(843) 282-1910
Organization SubpartNo
Authorized OfficialBrandon J. CoakleyManaging Partner · (843) 449-0453
Enumeration DateMay 31, 2006
Last NPPES UpdateMarch 22, 2022
NPPES CertifiedMarch 22, 2022
NPI 1962449181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
917 MEDICAL CIRCLE, Myrtle Beach, SC 29572

Other Identifiers 1

MedicaidGP1554SC

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dermatology
917 MEDICAL CIRCLE
MYRTLE BEACH, SC 29572

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 Waccamaw Dermatology, LLC's NPI number?

The NPI number for Waccamaw Dermatology, LLC is 1962449181. It was assigned to this organization in the NPPES registry on May 31, 2006.

Where is Waccamaw Dermatology, LLC located?

Waccamaw Dermatology, LLC is located at 917 Medical Circle, Myrtle Beach, SC 29572. The listed phone number is (843) 449-0453.

What is Waccamaw Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

What insurance does Waccamaw Dermatology, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Waccamaw Dermatology, 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 Waccamaw Dermatology, LLC was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.