NPIMap

Individual provider Active NPI

Chrystal M Coates-Gal, MD

  • Family Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1972941649
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37846 Issued in SC
Practice address
4612 Oleander Dr Ste 102
Myrtle Beach, SC 29577-5711
Phone
(843) 945-8117
Fax
(843) 945-8124
NPI assigned
Jun 4, 2013
Last updated
Jun 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 37846 SC Primary

Addresses

Primary practice location

4612 Oleander Dr Ste 102
Myrtle Beach, SC 29577-5711

Mailing address

4612 Oleander Dr Ste 102
Myrtle Beach, SC 29577-5711
Phone (843) 945-8117

Other identifiers 1

IdentifierTypeStateIssuer
378460MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150909001528 SC Practitioner - Family Practice 7214244102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family First Health Clinic PAGroup PAC ID 9537499785, 4 clinicians

Practice addresses (Care Compare)

4612 Oleander Dr
Suite 102
Myrtle Beach, SC 29577-5711
Phone (843) 945-8117

931 Medical Cir
Suite a
Myrtle Beach, SC 29572-4122
Phone (843) 945-8124

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Health Clinic, PA Family Medicine CurrentSince Jun 5, 2019 Accepting new patients
Conway Hospital, Inc. Family Medicine PastSince Sep 1, 2015 Accepting new patients

Locations

4612 Oleander Dr
Ste 102
Myrtle Beach, SC 29577
Phone (843) 945-8117

Interoperability endpoints

  • Direct secure messaging: chrystal.coates-gal.1@20060.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20060/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1972941649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 OLEANDER DR STE 102",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775711",
            "telephone_number": "843-945-8117",
            "fax_number": "843-945-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 OLEANDER DR STE 102",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775711",
            "telephone_number": "843-945-8117",
            "fax_number": "843-945-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATES-GAL",
        "first_name": "CHRYSTAL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "37846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378460",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.