Coastal Neurology, P.a.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

COASTAL NEUROLOGY, P.A.

Practice address

1833 N. Paris Avenue
Port Royal, SC 29935-2029

Phone

(843) 522-1420

Fax

(843) 522-1460

NPI assigned

Apr 20, 2006

Last updated

Jun 10, 2026By 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. Paul Mazzeo, M.D.NPI 1568432185

Title

President

Phone

(843) 522-1420

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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.

• Paul Mazzeo, M.D.

  • Neurology Physician
  • Port Royal, SC
  • NPI 1568432185
  Medicare reassignment Care Compare group NPD Authorized official
• Jared Michael Campbell, MSW

  • Clinical Social Worker
  • Port Royal, SC
  • NPI 1750769725
  Medicare reassignment Care Compare group NPD
• Tiffany Williams Rossi

  • Family Nurse Practitioner
  • Port Royal, SC
  • NPI 1144991357
  Medicare reassignment Care Compare group NPD
• Kristen Clark

  • Family Nurse Practitioner
  • Okatie, SC
  • NPI 1124902309
  Medicare reassignment NPD
• Ashton Marie Giammona, PA-C

  • Neurology Physician
  • Port Royal, SC
  • NPI 1093609174
  Medicare reassignment NPD
• Brian Joseph Burger, APRN

  • Acute Care Nurse Practitioner
  • Port Royal, SC
  • NPI 1184143406
  NPD
• Anne Marie Taylor, ANP

  • Adult Health Nurse Practitioner
  • Port Royal, SC
  • NPI 1689645996
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1750346789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 N PARIS AVE",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299352029",
            "telephone_number": "843-522-1420",
            "fax_number": "843-522-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 N. PARIS AVENUE",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299352029",
            "telephone_number": "843-522-1420",
            "fax_number": "843-522-1460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Okatie Center Blvd N Ste 240",
            "address_purpose": "LOCATION",
            "city": "Okatie",
            "state": "SC",
            "postal_code": "299093782",
            "country_code": "US",
            "telephone_number": "843-522-1420",
            "fax_number": "843-522-1460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL NEUROLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "MAZZEO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-522-1420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1188",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Paul.Mazzeo@cnpa.ssdirect.aprima.com",
            "affiliation": "N",
            "endpointDescription": "Paul.Mazzeo@cnpa.ssdirect.aprima.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1833 N. Paris Avenue",
            "city": "Port Royal",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299352029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jared Michael Campbell, MSW
• Ugochi Cantave, MD
• Niles Edemeka Carter, MD
• Maureen Chapman, CNM, APRN
• Child Abuse Prevention Association
• Comprehensive Neuropsychology LLC
• Joseph E Conroy, PH.D.
• Elizabeth Meade Cooke, CCC-SLP
• Britnee Goldman Courtney, MSP CCC SLP
• Roy O Darby III, PH.D.

• Neurology Physician in Port Royal, SC
• Providers in Port Royal, SC by specialty
• Neurology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.