Coastal Carolina Multispecialty Associates, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

COASTAL CAROLINA MULTISPECIALTY ASSOCIATES, LLC

Doing business as

Coastal Carolina Surgical Specialists

Practice address

295A Midland Pkwy Ste 120
Summerville, SC 29485-5901

Phone

(843) 875-8994

NPI assigned

Aug 31, 2006

Last updated

Mar 13, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

COASTAL CAROLINA MULTISPECIALTY ASSOCIATES, LLCAs reported in NPPES

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

Authorized official

Name

Robert Faile

Title

Vice President

Phone

(843) 856-7923

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 1

• Coastal Carolina Surgical Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Part of

Coastal Carolina Multispecialty Associates LLC

Locations

Practitioners 72

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Caitlin Elizabeth Beaman, FNP-C

  • Primary Care Nurse Practitioner
  • Charleston, SC
  • NPI 1982207320
  Medicare reassignment Care Compare group NPD
• James Michael Benner, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • North Charleston, SC
  • NPI 1447336177
  Medicare reassignment Care Compare group NPD
• Christine Philbrick Brusman, NP

  • Nurse Practitioner
  • Charleston, SC
  • NPI 1053495580
  Medicare reassignment Care Compare group NPD
• Rebecca Burnham, D.O.

  • Surgery Physician
  • Summerville, SC
  • NPI 1083062525
  Medicare reassignment Care Compare group NPD
• Lawrence L. Conley II, DO

  • Orthopaedic Surgery Physician
  • Walterboro, SC
  • NPI 1932149028
  Medicare reassignment Care Compare group NPD
• Michael L Craig, MD

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Charleston, SC
  • NPI 1073621934

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Frank Anthony Cuoco Jr., MD

  • Clinical Cardiac Electrophysiology Physician
  • Charleston, SC
  • NPI 1497704423

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Beth Damato

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Charleston, SC
  • NPI 1255717245
  Medicare reassignment Care Compare group NPD
• John A Fry, M.D.

  • Interventional Cardiology Physician
  • Orangeburg, SC
  • NPI 1760541056

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Joy Johnstone Geter, AGAC-NP

  • Acute Care Nurse Practitioner
  • Charleston, SC
  • NPI 1942884440
  Medicare reassignment Care Compare group NPD
• Vincent Paul Grzywacz II, MD

  • Radiation Oncology Physician
  • Charleston, SC
  • NPI 1033603592
  Medicare reassignment Care Compare group NPD
• Nizar P Hallak, M.D.

  • Gastroenterology Physician
  • Columbia, SC
  • NPI 1861627697
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1518079102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274525",
            "telephone_number": "615-372-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295A MIDLAND PKWY STE 120",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855901",
            "telephone_number": "843-875-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9330 Medical Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294069104",
            "country_code": "US",
            "telephone_number": "843-847-4946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Walterboro",
            "state": "SC",
            "postal_code": "294885719",
            "country_code": "US",
            "telephone_number": "843-549-1421",
            "fax_number": "843-549-1887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL CAROLINA MULTISPECIALTY ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL CAROLINA MULTISPECIALTY ASSOCIATES, LLC",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "FAILE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "843-856-7923"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4508",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Carolina Surgical Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coastal Carolina Surgical Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Summerville, SC
• Providers in Summerville, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.