COASTAL PEDIATRICS (NPI# 1659382067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659382067 |
| Entity Type | Organization |
| Organization Name | COASTAL PEDIATRICS |
| Practice Address |
8030 Myrtle Trace Dr Conway SC 29526-8945 |
| Practice Telephone | 8433474677 |
| Practice Fax Number | 8433474678 |
| Mailing Telephone | 8433474677 |
| Mailing Fax Number | 8433474678 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAMES MELVIN LINDSEY JR. (OWNER) |
| Authorized Official Telephone | 8433474677 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
7486 | SC | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982012829 | Coastal Pediatrics | Pediatrics | 8030 Myrtle Trace Dr, Conway, SC 29526-8945 | 2014-07-23 |
| 1922281070 | Coastal Pediatrics | Clinic/Center | 200 Griffin Rd, Suite 15, Portsmouth, NH 03801-7145 | 2007-12-12 |
| 1780888321 | Coastal Pediatrics | Pediatrics | 1275 W Granada Blvd, Suite 3a, Ormond Beach, FL 32174-8259 | 2007-06-14 |
| Street Address |
8030 MYRTLE TRACE DR |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-8945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598766529 | Alfonso L Sangtian Jr. | Pediatrics | 8030 Myrtle Trace Dr, Conway, SC 29526-8957 | 2005-08-01 |
| 1982012829 | Coastal Pediatrics | Pediatrics | 8030 Myrtle Trace Dr, Conway, SC 29526-8945 | 2014-07-23 |
| 1629029814 | Karen T Pressley | Nurse Practitioner | 8030 Myrtle Trace Dr, Conway, SC 29526-8945 | 2006-05-13 |
| 1841291887 | James Melvin Lindsey Jr. | Pediatrics | 8030 Myrtle Trace Dr, Conway, SC 29526-8957 | 2005-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225317159 | House Calls, On Call | Clinic/Center | 2920 Adam St, Conway, AR 72034-5502 | 2011-08-09 |
| 1144416330 | Conway Family Clinic, Inc. | Clinic/Center | 301 S. Newport, Conway, MO 65632 | 2007-09-20 |
| 1538263272 | Waccamaw Primary Care,llc | Clinic/Center | 660 Singleton Ridge, Suite A, Conway, SC 29526 | 2006-09-12 |
| 1417557471 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-10-29 |
| 1447637327 | Rivertown Wellness Center, LLC | Clinic/Center | 1210 Main St, Conway, SC 29526-3633 | 2015-04-30 |
| 1487882023 | Eaw Inc | Clinic/Center | 525 Hendrix Cv, Conway, AR 72034-7742 | 2009-06-22 |
| 1669687851 | Northampton Family Practice, PC | Clinic/Center | 111 E Main St, Conway, NC 27820-0348 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484821 | Grace Physicians Services | Clinic/Center | 1483 Old Cherokee Road, Lexington, SC 29072 | 2020-10-12 |
| 1750995007 | Trinity Health and Wellness | Clinic/Center | 1483 Old Cherokee Rd, Lexington, SC 29072 | 2020-09-03 |
| 1841847423 | Healthworks Med Group of South Carolina P C | Clinic/Center | 9051 Palmetto Commerce Pkwy, Ladson, SC 29456-6705 | 2019-08-20 |
| 1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
| 1447758032 | Crs Eyecare Services, Inc. | Clinic/Center | 112 Rutledge Ave Ste A, Charleston, SC 29401-1333 | 2018-01-29 |
| 1316477060 | Lake City Medical Associates 2017, LLC | Clinic/Center | 130 S Acline St, Lake City, SC 29560-2633 | 2017-06-15 |
| 1417483355 | New Beginnings Health Services | Clinic/Center | 176 Dermis Ave, Hardeeville, SC 29927-4161 | 2017-05-11 |
| 1669919007 | Hypertension and Diabetes Prevention and Treatment Center Inc | Clinic/Center | 1812 Malden Drive, Hdpt Center Inc, Florence, SC 29505-3128 | 2017-01-24 |
| 1093262511 | Quad/med, LLC | Clinic/Center | 224a Harbor Freight Rd, Dillon, SC 29536-8501 | 2016-09-01 |
| 1649623653 | Woods Bay Family Care LLC | Clinic/Center | 128 E Baker St, Olanta, SC 29114-9101 | 2016-07-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.