COASTAL COMPREHENSIVE CARE PA NPI 1457828253

NPI Information

  • NPI: 1457828253
  • Provider Name: COASTAL COMPREHENSIVE CARE PA
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 34D2159876
  • Address: 710 SUNSET BLVD N STE A
    SUNSET BEACH, NC
    ZIP 28468
  • Phone: (910) 663-2273

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NPI Details

COASTAL COMPREHENSIVE CARE PA is a family medicine in Sunset Beach, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COASTAL COMPREHENSIVE CARE PA NPI is 1457828253. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

710 SUNSET BLVD N STE A
SUNSET BEACH, NC
ZIP 28468-340
Phone: (910) 663-2273
Fax: (910) 663-4050

The provider's authorized official is Terresa A Long .
The authorized official title is President and has the following contact phone number (910) 663-2273.

The CLIA number assigned to this NPI record is 34D2159876 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/30/2018 and was last updated on 1/30/2025.

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
1207LA0401XAnesthesiologyAddiction MedicineNo
2207LP2900XAnesthesiologyPain MedicineNo
3207Q00000XFamily MedicineYes

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
1EC2848OTHERNORTH CAROLINARAILROAD MEDICARE
202EYBOTHERNORTH CAROLINABCBS NC
31457828253MEDICAIDNORTH CAROLINA
4I564OTHERNORTH CAROLINAMEDICARE

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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