Coastal Carolina Primary Care LLC
A Medicare group practice based in Myrtle Beach, SC: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3577629088), with 32 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3577629088
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- SC
- Enrollments
- 1
- Group size
- 24 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 23
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20090309000437 | SC | Part B Supplier - Clinic/Group Practice | 1821257676 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Coastal Carolina Primary Care, LLC
- Endocrinology, Diabetes & Metabolism Physician
- Myrtle Beach, SC
- NPI 1821257676
-
Coastal Carolina Primary Care, LLC
- Family Medicine Physician
- Ladson, SC
- NPI 1942522719
Practice locations
- Myrtle Beach, SC8
- Summerville, SC5
- Charleston, SC5
- Murrells Inlet, SC2
- Walterboro, SC2
- Johns Island, SC1
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 84.73 of 100
- Quality
- 73.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 76.89
Clinicians 32
Clinicians who reassign their Medicare benefits to this group (31) or whom Care Compare lists as members (24).
-
Joa Alexis Allen, DO
- Obstetrics & Gynecology Physician
- Summerville, SC
- NPI 1811459555
-
Jerry Burton Banks, MD
- Family Medicine Physician
- Myrtle Beach, SC
- NPI 1578552410
-
Chris Boggs, MD
- Family Medicine Physician
- Little River, SC
- NPI 1326068362
-
Annelee Boyle, M.D.
- Maternal & Fetal Medicine Physician
- Charlottesville, VA
- NPI 1235421777
-
Joshua Charles Brown, M.D.
- Psychiatry Physician
- Middletown, RI
- NPI 1851706980
-
Jamie Alexis Weaver Campbell, DO
- Internal Medicine Physician
- Charlotte, NC
- NPI 1750813481
-
Jeff B Chapa, MD
- Maternal & Fetal Medicine Physician
- Mayfield Heights, OH
- NPI 1730160037
-
Anna Grace Cohen, DO
- Internal Medicine Physician
- Myrtle Beach, SC
- NPI 1508446469
-
Jessica Cvinar, MD
- Internal Medicine Physician
- Myrtle Beach, SC
- NPI 1255794780
-
Elizabeth Norene Dacus, MD
- Obstetrics & Gynecology Physician
- North Charleston, SC
- NPI 1821013632
-
Nachiket Nitin Datar
- Family Medicine Physician
- Myrtle Beach, SC
- NPI 1104310671
-
Savannah Desmarais, D.O.
- Internal Medicine Physician
- Myrtle Beach, SC
- NPI 1689106403
-
Sean L. Gibbs, M.D.
- Family Medicine Physician
- Myrtle Beach, SC
- NPI 1215010020
-
Mark Richard Gobin, DO
- Internal Medicine Physician
- Billings, MT
- NPI 1932140092
-
Solita Rene Harris, M.D.
- Maternal & Fetal Medicine Physician
- Greenville, SC
- NPI 1568845162
-
Barbara Head, MD
- Maternal & Fetal Medicine Physician
- Charleston, SC
- NPI 1295795854
-
Sarah E Hearn, PAC
- Physician Assistant
- Orangeburg, SC
- NPI 1043283575
-
Jon Michael Katz, MD
- Maternal & Fetal Medicine Physician
- Summerville, SC
- NPI 1023022167
-
Tyler Kilgore, M.D.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Myrtle Beach, SC
- NPI 1831544154
-
Robert E Kimpton, MD
- Family Medicine Physician
- Myrtle Beach, SC
- NPI 1407916133
-
Michael S Liao, M.D.
- Obstetrics Physician
- Hinesville, GA
- NPI 1952346256
-
Christina Pitts Lynn, M.D.
- Psychiatry Physician
- Myrtle Beach, SC
- NPI 1700014248
-
Stephen Meyer, M.D.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Myrtle Beach, SC
- NPI 1538573670
-
Maria Ines Pereyra Heyward, FNP-C
- Family Nurse Practitioner
- Myrtle Beach, SC
- NPI 1619654142
-
Sarah Jean Puim, MD
- Family Medicine Physician
- Myrtle Beach, SC
- NPI 1679007389
-
Jennifer M Risinger, M.D.
- Obstetrics & Gynecology Physician
- Columbia, SC
- NPI 1225006372
-
Jilian Rinehart Sansbury, M.D.
- Internal Medicine Physician
- Myrtle Beach, SC
- NPI 1295097491
-
Anthony Shadiack, DO
- Family Medicine Physician
- Myrtle Beach, SC
- NPI 1427328533
-
Kevin W Shea, MD
- Infectious Disease Physician
- Myrtle Beach, SC
- NPI 1265474324
-
Brittany Michele Stofko, DO
- Obstetrics & Gynecology Physician
- Summerville, SC
- NPI 1659576767
-
Emmie Ruth Strassberg, D.O
- Maternal & Fetal Medicine Physician
- Purcellville, VA
- NPI 1508177353
-
Tiffany R Tonismae
- Maternal & Fetal Medicine Physician
- Louisville, KY
- NPI 1245505478
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.