Coastal Southeastern United Care LLC
A Medicare group practice based in Gastonia, NC: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6204089188), with 14 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6204089188
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- NC
- Enrollments
- 1
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 8
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20121228000121 | NC | Part B Supplier - Clinic/Group Practice | 1346477403 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Coastal Southeastern United Care LLC
dba Coastal Southeastern United Care
- Community/Behavioral Health Agency
- Supply, NC
- NPI 1346477403
-
Coastal Southeastern United Care LLC
- Community/Behavioral Health Agency
- Bladenboro, NC
- NPI 1093032310
Practice locations
- Bolivia, NC1
- Wilmington, NC1
- Whiteville, NC1
- Supply, NC1
- Shallotte, NC1
- Morehead City, NC1
- Lumberton, NC1
- Gastonia, NC1
Clinicians 14
Clinicians who reassign their Medicare benefits to this group (14) or whom Care Compare lists as members (2).
-
Kathy Jo Asbury, ARNP
- Family Nurse Practitioner
- Supply, NC
- NPI 1356598619
-
Elizabeth Barton
- Family Nurse Practitioner
- Shallotte, NC
- NPI 1003374208
-
Sheila Nannette Cannon, PMHNP/PMHCNS-BC
- Psychiatric/Mental Health Nurse Practitioner
- New Castle, DE
- NPI 1003859158
-
Sydney Elizabeth Dockery, MSW, LCSWA
- Clinical Social Worker
- Mount Airy, NC
- NPI 1811558596
-
Brittany Hester, LCSW, LCAS
- Clinical Social Worker
- Wilmington, NC
- NPI 1235569500
-
Carol Ann Holder, LMFT, LPC
- Professional Counselor
- Shallotte, NC
- NPI 1477767416
-
David A. Joseph, M.D.
- Psychiatry Physician
- Shallotte, NC
- NPI 1619027471
-
Crystal Martinez, NP
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, NC
- NPI 1972068757
-
Molly Madison McGirt, BSN DNP PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Charlotte, NC
- NPI 1215688700
-
David Moes
- Psychiatric/Mental Health Nurse Practitioner
- Calabash, NC
- NPI 1336697754
-
Whitnee Roberts, NP
- Nurse Practitioner
- Lumberton, NC
- NPI 1578934576
-
Robert K Seigel
- Psychiatric/Mental Health Nurse Practitioner
- Hampstead, NC
- NPI 1912043050
-
Heidi M Smith, NP-C
- Psychiatric/Mental Health Nurse Practitioner
- Lumberton, NC
- NPI 1629456330
-
Brenda Sue Willis, M.D.
- Psychiatry Physician
- Lincolnton, NC
- NPI 1831372721
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.