NPIMap

Organization Active NPI

Coastal Carolina Behavioral Health, Inc.

  • Psychiatry Physician
  • Surfside Beach, SC
National Provider Identifier
1932884046
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
COASTAL CAROLINA BEHAVIORAL HEALTH, INC.
Practice address
2734 Beaver Run Blvd Unit D
Surfside Beach, SC 29575-5392
Phone
(843) 650-1085
Fax
(843) 650-1088
NPI assigned
Jun 16, 2023
Last updated
Oct 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Samantha Giermann
Title
Co-Owner/VP
Phone
(843) 650-1085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

2734 Beaver Run Blvd Unit D
Surfside Beach, SC 29575-5392

Mailing address

2734 Beaver Run Blvd Unit D
Surfside Beach, SC 29575-5392
Phone (843) 650-1085

Other practice location 1

901 16th Ave
Conway, SC 29526-3013
Phone (843) 650-1085 ext. 2

Other identifiers 1

IdentifierTypeStateIssuer
PG1348MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Coastal Carolina Behavioral Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2734 Beaver Run Blvd
Unit D
Surfside Beach, SC 29575
Phone (843) 650-1085

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1932884046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2734 BEAVER RUN BLVD UNIT D",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295755392",
            "telephone_number": "843-650-1085",
            "fax_number": "843-650-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2734 BEAVER RUN BLVD UNIT D",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295755392",
            "telephone_number": "843-650-1085",
            "fax_number": "843-650-1088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295263013",
            "country_code": "US",
            "telephone_number": "843-650-1085 x2",
            "fax_number": "843-650-1088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL CAROLINA BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "GIERMANN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CO-OWNER/VP",
        "authorized_official_telephone_number": "843-650-1085"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PG1348",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surfside Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.