COASTAL FAMILY PRACTICE PC NPI 1295893097

NPI Information

  • NPI: 1295893097
  • Provider Name: COASTAL FAMILY PRACTICE PC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 49D0970528
  • Address: 2109 MCCOMAS WAY
    SUITE 102
    VIRGINIA BEACH, VA
    ZIP 23456
  • Phone: (757) 563-2800

Map and Directions

Get Directions

NPI Details

COASTAL FAMILY PRACTICE PC is a primary care clinic center in Virginia Beach, VA. COASTAL FAMILY PRACTICE PC NPI is 1295893097. The provider is registered as an organization entity type.

The provider's business location address is:

2109 MCCOMAS WAY
SUITE 102
VIRGINIA BEACH, VA
ZIP 23456-909
Phone: (757) 563-2800

The provider's authorized official is Mitchell B Miller .
The authorized official title is President and has the following contact phone number (757) 563-2800.

The CLIA number assigned to this NPI record is 49D0970528 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 1/30/2009.

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
1261QP2300XClinic/CenterPrimary Care0101032190VIRGINIAYes

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
1GC1148MEDICARE PINVIRGINIA

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI