COASTAL CAROLINA HEALTH CARE PA (NPI# 1063962074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063962074 |
| Entity Type | Organization |
| Organization Name | COASTAL CAROLINA HEALTH CARE PA |
| Other Organization Name | CCHC PAMLICO MEDICAL CENTER |
| Practice Address |
606 Main St Bayboro NC 28515-9632 |
| Practice Telephone | 2527453191 |
| Mailing Telephone | 2527453191 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |
| Authorized Official Name | STEPHEN W NUCKOLLS (CEO) |
| Authorized Official Telephone | 2525146685 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CCHC Pamlico Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750567970 | Coastal Carolina Health Care Pa | Clinic/Center | 1020 Medical Park Avenue, New Bern, NC 28562-5248 | 2008-01-17 |
| 1447290010 | Coastal Carolina Health Care Pa | Clinic/Center | 1030 Medical Park Ave, New Bern, NC 28562-5248 | 2006-06-08 |
| 1306885975 | Coastal Carolina Health Care Pa | Clinic/Center | 1010 Medical Park Ave, New Bern, NC 28562-5248 | 2006-06-06 |
| 1528623790 | Coastal Carolina Health Care Pa | Hospitalist | 1040 Medical Park Ave, New Bern, NC 28562-5248 | 2019-05-03 |
| 1386194397 | Coastal Carolina Health Care Pa | Clinic/Center | 901 Broad St, Oriental, NC 28571-9783 | 2016-10-13 |
| 1073911822 | Coastal Carolina Health Care Pa | Clinic/Center | 108 Market St, New Bern, NC 28560-6704 | 2014-12-10 |
| 1477992501 | Coastal Carolina Health Care Pa | Internal Medicine | 941 Newman Rd, New Bern, NC 28562-5252 | 2013-06-21 |
| 1821394800 | Coastal Carolina Health Care Pa | Internal Medicine | 975 Newman Rd, New Bern, NC 28562-5252 | 2011-02-08 |
| 1780623207 | Coastal Carolina Health Care Pa | Clinic/Center | 702 Newman Rd, New Bern, NC 28562-5238 | 2006-06-06 |
| 1225077746 | Coastal Carolina Health Care Pa | Clinic/Center | 3252 Wellons Blvd, New Bern, NC 28562-5234 | 2006-06-06 |
| Street Address |
606 MAIN ST |
| City | BAYBORO |
| State | NC |
| Zip Code | 28515-9632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841244910 | Stephanie Demetra Carperos | Internal Medicine | 606 Main St, Bayboro, NC 28515-9632 | 2006-05-21 |
| 1336368737 | Hughes Montgomery Helm | Family Medicine | 606 Main St, Bayboro, NC 28515-9632 | 2007-04-24 |
| 1437246204 | Pamlico Regional Medical Center Pa | Neuromusculoskeletal Medicine & OMM | 606 Main St, Bayboro, NC 28515 | 2006-10-05 |
| 1871609693 | Patricia Lee Montgomery | Physician Assistant | 606 Main St, Bayboro, NC 28515 | 2006-08-22 |
| 1417982927 | Linda Ann Straub | Internal Medicine | 606 Main St, Bayboro, NC 28515-9632 | 2006-07-12 |
| 1497798409 | Ernest C Dunn Jr. | Family Medicine | 606 Main St, Bayboro, NC 28515-9632 | 2006-06-14 |
| 1841233814 | George H Nashick | General Practice | 606 Main St, Bayboro, NC 28515-9632 | 2006-06-14 |
| 1235179698 | Suman Lamsal | Internal Medicine | 606 Main St, Bayboro, NC 28515-9632 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689118705 | County of Pamlico | Ambulance | 911 Grace Daniels Road, Bayboro, NC 28515 | 2016-12-08 |
| 1093948432 | Advocacy Behavioral Health Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 204 Neals Ck Rd, Bayboro, NC 28515 | 2009-09-02 |
| 1508087081 | Kellie Joiner King | Social Worker | 709 Main St., Bayboro, NC 28515 | 2007-05-01 |
| 1710072731 | Joshua Clayton Rose | Dentist | 55 Ireland Rd, Bayboro, NC 28515 | 2006-10-04 |
| 1891894549 | Clarence Vernon Rose Jr. | Dentist | 55 Ireland Road, Bayboro, NC 28515 | 2006-09-21 |
| 1467495457 | Pamlico County Rescue Squad Inc | Ambulance | 911 Grace Daniels Rd, Bayboro, NC 28515 | 2006-06-14 |
| 1588634372 | Charlene Mcclure Morris | Physician Assistant | 606 Main Street, Bayboro, NC 28515 | 2006-01-24 |
| 1801493614 | Caitlin D Smith | Social Worker | 205 Main St, Bayboro, NC 28515 | 2020-10-05 |
| 1154873255 | County of Pamlico | Ambulance | 302 Main Street, Bayboro, NC 28515 | 2016-10-25 |
| 1528250156 | Stephanie Erickson | Social Worker | 709 Main Street, Bayboro, NC 28515 | 2007-08-17 |
| Find all providers in zip 28515 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907604 | Primary Care of North Carolina Inc | Clinic/Center | 3500 Stonehaven Dr, Charlotte, NC 28215-3232 | 2020-09-17 |
| 1871119818 | Mymd Personal Family Care, Pllc | Clinic/Center | 110 W Wood Hill Dr Unit 108, Nags Head, NC 27959-9394 | 2020-06-24 |
| 1164042412 | Hometown Direct Primary Care Pllc | Clinic/Center | 332 N Brightleaf Blvd Ste C, Smithfield, NC 27577-4604 | 2020-04-16 |
| 1528619293 | Careatc | Clinic/Center | 3615 Whitehall Park Dr Ste G, Charlotte, NC 28273-4199 | 2019-09-24 |
| 1568021160 | Brighter Pathway To Healthcare | Clinic/Center | 2641 Cameron Woods Ln Apt Suite, Fayetteville, NC 28306-7700 | 2019-06-07 |
| 1467931584 | Healthworks Med Group of North Carolina P C | Clinic/Center | 112 Medical Village Dr Ste F, Wallace, NC 28466-1665 | 2018-08-09 |
| 1598257750 | Balsam Health of The Carolinas, Pllc | Clinic/Center | 607 W Grover St Ste 101, Shelby, NC 28150-2816 | 2018-06-04 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1194233403 | Futuremed Evening Clinic Pllc | Clinic/Center | 2003 Boulevard St Ste C, Greensboro, NC 27407-4579 | 2018-01-21 |
| 1356852511 | Grace Clinic of Yadkin Valley | Clinic/Center | 948 Johnson Ridge Rd, Elkin, NC 28621-0948 | 2017-10-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.