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Organization

Coastal Rejuvenation Solutions

NPI Record: ActiveClinic/Center — Multi-Specialty
NPI1134801160
Myrtle Beach, South Carolina

Provider's NPPES record last updated: August 1, 2023

Overview

Entity Type
Organization
NPI
1134801160
Primary Specialty
Clinic/Center — Multi-Specialty
Practice Location
Myrtle Beach, South Carolina
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 9:35 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Clinic/Center

    Multi-Specialty

    Ambulatory Health Care Facilities

    Primary

    Definition to come...

    Taxonomy code 261QM1300X
  • Social Worker

    Behavioral Health & Social Service Providers

    A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

    Taxonomy code 104100000X
  • Registered Nurse

    General Practice

    Nursing Service Providers

    Definition to come...

    Taxonomy code 163WG0000X
  • Preventive Medicine

    Obesity Medicine

    Allopathic & Osteopathic Physicians

    A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

    Taxonomy code 2083B0002X
  • Case Management

    Agencies

    An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

    Taxonomy code 251B00000X
  • Clinic/Center

    Infusion Therapy

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QI0500X
  • Nurse Practitioner

    Family

    Physician Assistants & Advanced Practice Nursing Providers

    Definition to come...

    Taxonomy code 363LF0000X

Practice Locations

Practice Location

630 Chestnut Rd

Myrtle Beach, South Carolina 29572-5502

Phone: (843) 945-1452

Record Information

Enumeration Date
August 1, 2023
Provider's NPPES Record Last Updated
August 1, 2023
Certification Date
August 1, 2023
NPISignal NPPES Dataset
August 2026

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