COASTAL NEUROLOGY, P.A.
NPI 1750346789
Clinic/Center - Medical Specialty in Port Royal, SC
NPI Status: Active since April 20, 2006
Contact Information
1833 N. PARIS AVENUE
PORT ROYAL, SC
ZIP 29935
Phone: (843) 522-1420
Fax: (843) 522-1460
- Organization
- Clinic/Center
- Medical Specialty
- Accepts Insurance
- CLIA Number: 42D1023300
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-11-2026
About COASTAL NEUROLOGY, P.A.
This page provides the complete NPI Profile along with additional information for Coastal Neurology, P.a., a provider established in Port Royal, South Carolina operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1750346789 assigned on April 2006. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated May 2025. The authorized official of this NPI record is Dr. Paul Mazzeo M.d. (President)
- NPI
- 1750346789
- Provider Name
- COASTAL NEUROLOGY, P.A.
- Entity Type
- Organization
- Location Address
- 1833 N. PARIS AVENUE PORT ROYAL, SC 29935
- Location Phone
- (843) 522-1420
- Location Fax
- (843) 522-1460
- Mailing Address
- 1833 N. PARIS AVENUE PORT ROYAL, SC 29935
- Mailing Phone
- (843) 522-1420
- Mailing Fax
- (843) 522-1460
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-20-2006
- Last Update Date
- 05-22-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Bronze with Atrium Health - HMO
- Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Focused Silver with Atrium Health - HMO
- Focused Silver with Atrium Health + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| GP1188 | MEDICAID (05) | SC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D1023300
- Facility Type
- Physician Office
- Certificate Effective Date
- March 12, 2024
- Certificate Expiration Date
- March 11, 2026
- Laboratory Director
- PAUL MAZZEO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Coastal Neurology, P.a. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for COASTAL NEUROLOGY, P.A.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 3 | 4 | 6 | 7 | 8 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 6 | 4 | 12 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 6 + 4 + 1 + 2 + 7 + 1 + 6 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1750346789 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1568432185 | PAUL MAZZEO M.D. Individual | Psychiatry & Neurology (Neurology) | 1833 N. PARIS AVENUE PORT ROYAL, SC 29935 (843) 522-1420 |
| 1033180039 | NORMAN BETTLE M.D. Individual | Psychiatry & Neurology (Neurology) | 1833 N. PARIS AVENUE PORT ROYAL, SC 29935 (843) 522-1420 |
| 1689645996 | MRS. ANNE MARIE TAYLOR ANP Individual | Nurse Practitioner (Adult Health) | 1833 N. PARIS AVENUE PORT ROYAL, SC 29935 (843) 522-1420 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750346789, enumerated in the NPI registry as an "organization" on April 20, 2006
The provider is located at 1833 N. Paris Avenue Port Royal, Sc 29935 and the phone number is (843) 522-1420
This medical organization specializes in Clinic/Center with taxonomy code 261QM2500X with a focus in Medical Specialty
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 42D1023300 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on April 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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