ALBEMARLE ORTHOTICS & PROSTHETICS INC NPI 1124096292

NPI Information

  • NPI: 1124096292
  • Provider Name: ALBEMARLE ORTHOTICS & PROSTHETICS, INC
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Organization
  • Former Legal Business Name: COASTAL CAROLINA PROSTHETICS & ORTHOTICS, INC
  • Address: 106 MEDICAL DRIVE
    ELIZABETH CITY, NC
    ZIP 27909
  • Phone: (252) 338-3002

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NPI Details

ALBEMARLE ORTHOTICS & PROSTHETICS, INC is a customized equipment durable medical equipment medical supplies in Elizabeth City, NC. ALBEMARLE ORTHOTICS & PROSTHETICS, INC NPI is 1124096292. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Coastal Carolina Prosthetics & Orthotics, Inc.

The provider's business location address is:

106 MEDICAL DRIVE
ELIZABETH CITY, NC
ZIP 27909
Phone: (252) 338-3002
Fax: (252) 338-2902

The provider's authorized official is Kimberly S Williamson .
The authorized official title is Owner and has the following contact phone number (252) 338-3002.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 12/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNORTH CAROLINAYes
3335E00000XProsthetic/Orthotic SupplierNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10482POTHERNORTH CAROLINABCBS
2384410OTHERVIRGINIABCBS
37701327MEDICAIDNORTH CAROLINA
49190511MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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