CAROLINA COASTAL PLASTIC AND RECONSTRUCTIVE SURGERY, INC.
CAROLINA COASTAL PLASTIC AND RECONSTRUCTIVE SURGERY, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003096058, based in Myrtle Beach, SC. It is classified under Plastic and Reconstructive Surgery Physician.
Getting there
Here is what surrounds this office in Myrtle Beach, based on OpenStreetMap data collected Sep 5, 2026. Parking is available about 0.33 mi away. If you arrive early, there is a coffee shop 0.46 mi away.
Getting here and what is nearby
Hotel Courtyard Myrtle Beach Broadway 290 ft ~2 min
Parking 0.21 mi ~5 min
Parking 0.22 mi ~5 min
Coffee Social Coffee 0.24 mi ~5 min
Hotel La Quinta Myrtle Beach Broadway Area 0.24 mi ~5 min
Gas station Mobil 0.25 mi ~6 min
1272 21st Avenue North, Myrtle Beach 29577
Restaurant Grumpy Monk 0.25 mi ~5 min
Restaurant Sweet Carolina's 0.28 mi ~6 min
1207 Celebrity Circle, Myrtle Beach 29577
Restaurant Yamato 0.30 mi ~6 min
Parking 0.33 mi ~7 min
Gas station BP 0.35 mi ~8 min
Coffee Frapp'a Joe 0.40 mi ~9 min
Coffee Starbucks 0.46 mi ~10 min
Hotel Hampton Inn Myrtle Beach - Broadway @ The Beach 0.52 mi ~11 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 6800082512
- Enrollment ID
- O20101119001100
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Plastic and Reconstructive Surgery covers
A surgeon who specializes in plastic and reconstructive surgery. NUCC Health Care Provider Taxonomy, code 2086S0122X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1003096058 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Nov 7, 2007 |
| Last updated | Jun 22, 2015 |
| Status | Active |
| Practice address |
1275 21ST AVE N BUILD #1 Myrtle Beach, SC 29577 (843) 448-9977 Fax (843) 626-7755 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 0 | 9 | 6 | 0 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 0 | 9 | 3 | 0 | 1 |
Sum = 42 · next multiple of 10 = 50 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.