Individual provider Active NPI

James Thaddeus Coin, M.D.

  • Neurology Physician
  • Wilmington, NC
National Provider Identifier
1124176664
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
29814 Issued in NC
Practice address
2515 Delaney Ave
Wilmington, NC 28403-6003
Phone
(910) 762-9131
Fax
(910) 762-1281
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 29814 NC Primary

Addresses

Primary practice location

2515 Delaney Ave
Wilmington, NC 28403-6003

Mailing address

PO Box 3098
Wilmington, NC 28406-0098
Phone (910) 762-9131

Other identifiers 2

IdentifierTypeStateIssuer
23534OtherNCBCBS
7923534MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040820000630 NC Practitioner - Neurology 3274507942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Duke University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2515 Delaney Ave
Wilmington, NC 28403-6003
Phone (910) 762-9131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
J. Thaddeus Coin, PHD, MD, PLLC Neurology CurrentSince Jul 1, 2004 Accepting new patients
Health Sciences Foundation Inc. Past Accepting new patients
Wilmington Health PLLC Past Accepting new patients

Locations

2515 Delaney Ave
Wilmington, NC 28403
Phone (910) 762-9131

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1124176664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3098",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284060098",
            "telephone_number": "910-762-9131",
            "fax_number": "910-762-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 DELANEY AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036003",
            "telephone_number": "910-762-9131",
            "fax_number": "910-762-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COIN",
        "first_name": "JAMES",
        "middle_name": "THADDEUS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "29814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "23534",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7923534",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.