Coastal Pediatrics

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

7486 Issued in SC

Legal business name

COASTAL PEDIATRICS

Practice address

8030 Myrtle Trace Dr
Conway, SC 29526-8945

Phone

(843) 347-4677

Fax

(843) 347-4678

NPI assigned

Aug 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Melvin Lindsey Jr., M.D.NPI 1841291887

Title

Owner

Phone

(843) 347-4677

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• James Melvin Lindsey Jr., M.D.

  • Pediatrics Physician
  • Conway, SC
  • NPI 1841291887
  Authorized official Same address or phone
• Kayla Lee Dolly, CPNP-PC

  • Pediatric Nurse Practitioner
  • Wiley Ford, WV
  • NPI 1336806876
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659382067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 MYRTLE TRACE DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268945",
            "telephone_number": "843-347-4677",
            "fax_number": "843-347-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030 MYRTLE TRACE DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268945",
            "telephone_number": "843-347-4677",
            "fax_number": "843-347-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINDSEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MELVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-347-4677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "7486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Home Care (American HomePatient)
• Coastal Kidney Center PA
• Coastal Mind Over Matter LLC
• Coastal Neuropsychiatry, PA
• Coastal Orthopedic Associates, PA
• Coastal Pediatrics
• Coastal Podiatry Associates PA
• Coastal Urology Center, PA
• Coastline Ambulance LLC
• John Oliver Cochran, D.C.

• Primary Care Clinic/Center in Conway, SC
• Providers in Conway, SC by specialty
• Primary Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.