CAROLINA COAST SURGERY CENTER – NPI #1780076885
Clinic/Center

CAROLINA COAST SURGERY CENTER is an AHC clinic located in MURRELLS INLET, SC. NPPES has assigned the NPI number 1780076885 to CAROLINA COAST SURGERY CENTER on February 26, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CAROLINA COAST SURGERY CENTER” is a dba name, the actual legal business name for this organization is MURRELLS INLET ASC LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 4 years ago on Dec 28, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAROLINA COAST SURGERY CENTER below.

NPI Profile for
MURRELLS INLET ASC LLC

NPI Number
1780076885
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MURRELLS INLET ASC LLC
Doing Business As (dba): CAROLINA COAST SURGERY CENTER
Primary location
3545 HIGHWAY 17 BYPASS
MURRELLS INLET, SC 29576
Phone: (843) 299-1717 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TRACEY TYLICKI
CHIEF ADMINISTRATIVE OFFICER
Phone: (843) 299-1717
Updated
Certification Date
Dec 28, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.