COASTAL MED SPA, LLC – NPI #1134090582
Preventive Medicine

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

COASTAL MED SPA, LLC is a provider located in MYRTLE BEACH, SC. NPPES has assigned the NPI number 1134090582 to COASTAL MED SPA, LLC on September 17, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2083P0901X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Public Health & General Preventive Medicine

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 COASTAL MED SPA, LLC below.

NPI Profile for
COASTAL MED SPA, LLC

NPI Number
1134090582
Enumeration Date

(about 9 months 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
COASTAL MED SPA, LLC
Primary location
4006 POSTAL WAY UNIT A
MYRTLE BEACH, SC 29579-3527
Phone: (843) 796-1769 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LAURA RICE
AUTHORIZED OFFICIAL
Phone: (843) 796-1769
Updated
Certification Date
Sep 17, 2025

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
2083P0901X
- Preventive Medicine / Public Health & General Preventive Medicine (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.