Carolina Coastal Family Medicine PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

22830 Issued in SC

Legal business name

CAROLINA COASTAL FAMILY MEDICINE PA

Practice address

1275 21St Ave N
Building 2
Myrtle Beach, SC 29577-7429

Phone

(843) 626-2847

Fax

(843) 626-9206

NPI assigned

Jun 23, 2010

Last updated

Jun 23, 2010By 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. Steven Kelly White Sr., M.D.NPI 1659325371

Title

Owner

Phone

(843) 626-2847

Specialties & licenses 1

Addresses

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.

• Steven K White, MD

  • Plastic and Reconstructive Surgery Physician
  • Myrtle Beach, SC
  • NPI 1659325371
  NPD (past) Authorized official
• Linda M Delfosse, FNP-C

  • Nurse Practitioner
  • Surfside Beach, SC
  • NPI 1467547950
  NPD (past)

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1881905032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 21ST AVE N",
            "address_2": "BUILDING 2",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295777429",
            "telephone_number": "843-626-2847",
            "fax_number": "843-626-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 21ST AVE N",
            "address_2": "BUILDING 2",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295777429",
            "telephone_number": "843-626-2847",
            "fax_number": "843-626-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA COASTAL FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-626-2847",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "22830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Hands Home Care LLC USA
• Herbert Victor Carmichael III, P.T.
• Debra Anne Carnosso, LCSW-R AND LISW-CP
• Carolina Bone & Joint Surgery Center
• Carolina Clinic of Chiropractic, LLC
• Carolina Coastal Plastic and Reconstructive Surgery, Inc.
• Carolina Forest Chiropractic, LLC
• Carolina Forest Family Eyecare, P.a.
• Carolina Forest Family Medicine
• Carolina Forest Hearing Center of SC LLC

• Primary Care Clinic/Center in Myrtle Beach, SC
• Providers in Myrtle Beach, 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 Jun 23, 2010; 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.