NPIMap

Organization Active NPI

Southern Coast Specialists, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Varnville, SC
National Provider Identifier
1154935856
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
SOUTHERN COAST SPECIALISTS, LLC
Practice address
1000 Pine St W
Varnville, SC 29944-4750
Phone
(843) 476-4702
NPI assigned
Sep 1, 2020
Organization subpart
Yes
Parent organization
SOUTHERN COAST SPECIALISTS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sabino D'Agostino, DO
Title
Owner/Medical Doctor
Phone
(843) 553-7615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

1000 Pine St W
Varnville, SC 29944-4750

Mailing address

1055 Ribaut Rd Ste 30
Beaufort, SC 29902-5447
Phone (843) 476-4702

Other identifiers 1

IdentifierTypeStateIssuer
GP9372MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://scspecialists.com/

National Provider Directory

National Provider Directory
Part of
Southern Coast Specialists

Locations

841 Elm St W
Hampton, SC 29924
Phone (843) 476-4702

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1154935856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 RIBAUT RD STE 30",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025447",
            "telephone_number": "843-476-4702",
            "fax_number": "843-476-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PINE ST W",
            "city": "VARNVILLE",
            "state": "SC",
            "postal_code": "299444750",
            "telephone_number": "843-476-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COAST SPECIALISTS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN COAST SPECIALISTS, LLC",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "D'AGOSTINO",
        "authorized_official_first_name": "SABINO",
        "authorized_official_title_or_position": "OWNER/MEDICAL DOCTOR",
        "authorized_official_telephone_number": "843-553-7615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP9372",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://scspecialists.com/",
            "affiliation": "N",
            "address_1": "1000 Pine St W",
            "city": "Varnville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299444750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Varnville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.