Coastal Family Practice PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

0101032190 Issued in VA

Legal business name

COASTAL FAMILY PRACTICE PC

Practice address

2109 McComas Way
Suite 102
Virginia Beach, VA 23456-3909

Phone

(757) 563-2800

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell B Miller, MDNPI 1902809437

Title

President

Phone

(757) 563-2800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Mitchell B Miller, MD

  • Family Medicine Physician
  • Virginia Beach, VA
  • NPI 1902809437
  Medicare reassignment Care Compare group NPD Authorized official
• Emma Laura Gash, NP

  • Nurse Practitioner
  • Virginia Beach, VA
  • NPI 1841182482
  Medicare reassignment Care Compare group NPD
• Victoria Remington Martin, NP

  • Family Nurse Practitioner
  • Virginia Beach, VA
  • NPI 1023773108
  Medicare reassignment Care Compare group NPD
• Michele Lee Porter, NP

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1669776803

  VA

  Medicare reassignment NPD

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1295893097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 MCCOMAS WAY",
            "address_2": "SUITE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563909",
            "telephone_number": "757-563-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 MCCOMAS WAY",
            "address_2": "SUITE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563909",
            "telephone_number": "757-563-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-563-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101032190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coast to Coast Counseling & Wellness, LLC
• Coastal Anesthesia ., Inc
• Coastal Center for Connection
• Coastal Dermatology P.C.
• Coastal Ear Nose and Throat Surgeons
• Coastal Family Services, Inc.
• Coastal Ferry LLC
• Coastal Hair Restoration, Inc
• Coastal Hearing & Balance Solutions LLC
• Coastal Kids Speech Therapy LLC

• Primary Care Clinic/Center in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Primary Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.