Coastal Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

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

Jul 23, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Bobbie J Ard

Title

Practice Manage

Phone

(843) 347-4677

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Melvin Lindsey Jr., M.D.

  • Pediatrics Physician
  • Conway, SC
  • NPI 1841291887
  NPD
• Alfonso L Sangtian Jr., M.D.

  • Pediatric Adolescent Medicine Physician
  • Conway, SC
  • NPI 1598766529
  NPD
• 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": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982012829",
    "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": "2014-07-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ARD",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE MANAGE",
        "authorized_official_telephone_number": "843-347-4677",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC0593",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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.
• Rebecca Marie Cochran, MSW

• Pediatrics Physician in Conway, SC
• Providers in Conway, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.