Carolina Coast Emergency Physicains, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

CAROLINA COAST EMERGENCY PHYSICAINS, LLC

Practice address

800 Tilghman Dr
Dunn, NC 28334-5510

Phone

(910) 892-1000

NPI assigned

Aug 24, 2006

Organization subpart

No

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

Authorized official

Name

Juli Clem

Title

Credentialing Specialist

Phone

(770) 874-5452

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Chachkes

  • Emergency Medicine Physician
  • Laurinburg, NC
  • NPI 1083649602
  NPD (past)
• Christopher G Krubert, MD

  • Emergency Medicine Physician
  • Monroe, NC
  • NPI 1619929007
  NPD (past)
• Daniel Minior

  • Emergency Medicine Physician
  • Raleigh, NC
  • NPI 1427151737
  NPD (past)
• James E. Nicholson

  • Emergency Medicine Physician
  • Dunn, NC
  • NPI 1083716690
  NPD (past)
• Thomston Trowbridge

  • Emergency Medicine Physician
  • Calais, ME
  • NPI 1821190471
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164539102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277982",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303847982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 TILGHMAN DR",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345510",
            "telephone_number": "910-892-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA COAST EMERGENCY PHYSICAINS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLEM",
        "authorized_official_first_name": "JULI",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "770-874-5452"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cape Fear Valley Health System Specialty Group, LLC
• James Joseph Cappola III, M.D.
• Cardinal Care of Dunn
• Cardinal Medical Specialists, PA
• Carenet, Inc.
• Carolina Diabetes and Endocrinology Center
• Carolina Diabetes and Endocrinology Center, P.C.
• Carolina Diagnostics Inc
• Carolina Discount Drug Store, LLC
• Carolina Eye Associates Inc

• Emergency Medicine Physician in Dunn, NC
• Providers in Dunn, NC by specialty
• Emergency Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.