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COASTAL PEDIATRICS
NPI 1982012829
Pediatrics in Conway, SC

Active since July 23, 2014
8030 MYRTLE TRACE DR, CONWAY, SC 29526(843) 347-4677(843) 347-4678 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 10, 2017 (2 updates tracked since 2017).

About Coastal Pediatrics NPPES

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

COASTAL PEDIATRICS (NPI 1982012829) is a healthcare organization registered as a pediatrics in Conway, South Carolina and active in the NPI registry since July 2014. The organization lists Bobbie J Ard, Practice Manage, as its authorized official.

NPPES Registry Identity

NPI1982012829
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCOASTAL PEDIATRICS
Location Address8030 MYRTLE TRACE DRConway, SC 29526-8945
Mailing Address8030 Myrtle Trace DrConway, SC 29526-8945 · (843) 347-4677 · Fax (843) 347-4678
Phone(843) 347-4677
Fax(843) 347-4678
Organization SubpartNo
Authorized OfficialBobbie J ArdPractice Manage · (843) 347-4677
Enumeration DateJuly 23, 2014
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1982012829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
8030 MYRTLE TRACE DR, Conway, SC 29526
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Other Identifiers 1

MedicaidPC0593SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DR. ALFONSO L SANGTIAN JR. M.D.
Pediatrics (Adolescent Medicine)
8030 MYRTLE TRACE DR
CONWAY, SC 29526
Horry County (843) 347-4677
COASTAL PEDIATRICS
Clinic/Center (Primary Care)
8030 MYRTLE TRACE DR
CONWAY, SC 29526
Horry County (843) 347-4677
DR. JAMES MELVIN LINDSEY JR. M.D.
Pediatrics
8030 MYRTLE TRACE DR
CONWAY, SC 29526
Horry County (843) 347-4677

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 Pediatrics's NPI number?

The NPI number for Coastal Pediatrics is 1982012829. It was assigned to this organization in the NPPES registry on July 23, 2014.

Where is Coastal Pediatrics located?

Coastal Pediatrics is located at 8030 Myrtle Trace Dr, Conway, SC 29526. The listed phone number is (843) 347-4677.

What is Coastal Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Coastal Pediatrics was last updated on July 21, 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.