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

Dr. Michael Robert Centilli, DO

Individual provider Dermatology Physician · NPI 1215223326

Dr. Michael Robert Centilli, DO is a Dermatology in Myrtle Beach, South Carolina. Graduated from Michigan State University College of Osteopathic Medicine in 2011, 15 years ago. Practices with Coastal Dermatology Institute LLC, a 4-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
15
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
SC
In the registry since
2011
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

199 Village Center Blvd Ste 200
Myrtle Beach, SC 29579-3589
Phone: (843) 738-0500
Fax: (437) 380-5058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 52108 (SC)

Record details

NPI number1215223326
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 27, 2011
Last updated in NPPESJune 10, 2021
Certification dateJune 10, 2021

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2011 (15 years in practice)
Group practice Coastal Dermatology Institute Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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