Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Anthony Shadiack, DO

Individual provider Family Medicine Physician · NPI 1427328533

Dr. Anthony Shadiack, DO is a Family Practice in Myrtle Beach, South Carolina. Qualified in 2011, 15 years ago. Practices with Coastal Carolina Primary Care LLC, a 24-clinician group and accepts Medicare assignment. Licensed in Florida and South Carolina.

Years since qualifying
15
Licensed in
FL, SC
In the registry since
2012
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

920 Doug White Dr Ste 250
Myrtle Beach, SC 29572-4181
Phone: (843) 848-4640
Fax: (843) 839-2382
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 82082 (SC)
Family Medicine Physician Taxonomy 207Q00000X · Licence OS13394 (FL)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 82082 (SC)

Record details

NPI number1427328533
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 5, 2012
Last updated in NPPESAugust 31, 2022
Certification dateAugust 31, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Coastal Carolina Primary Care Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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