NPIMap

Organization Active NPI

Coastal Southeastern United Care LLC

Doing business as Coastal Southeastern United Care

  • Community/Behavioral Health Agency
  • Supply, NC
National Provider Identifier
1346477403
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COASTAL SOUTHEASTERN UNITED CARE LLC
Doing business as
Coastal Southeastern United Care
Practice address
10 Doctors Circle
Suite 6
Supply, NC 28462
Phone
(910) 755-5222
Fax
(910) 755-5255
NPI assigned
Jun 16, 2009
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Ms. Shannon Ashley Atkinson, LCSWNPI 1447556659
Title
VP, Home and Community Services
Phone
(843) 806-2695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

10 Doctors Circle
Suite 6
Supply, NC 28462

Mailing address

305 Commerce Ave
Suite 102
Morehead City, NC 28557
Phone (252) 773-0195

Other practice location 1

100A Memory Plz
Whiteville, NC 28472-2640
Phone (910) 640-2230

Other practice location 2

305 Commerce Ave Ste 102
Morehead City, NC 28557-2971
Phone (252) 772-0195

Other practice location 3

401 W 27th St
Lumberton, NC 28358-3019
Phone (910) 370-0434

Other practice location 4

1201 S 16th St Ste B
Wilmington, NC 28401-6419
Phone (910) 769-4971

Other practice location 5

2550 Court Dr Ste 103
Gastonia, NC 28054-2152
Phone (704) 215-5822

Other practice location 6

1201 S 16th St Ste B
Wilmington, NC 28401
Phone (910) 769-4971

Other names 1

  • Coastal Southeastern United Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121228000121 NC Part B Supplier - Clinic/Group Practice 6204089188 Receives reassigned benefits from 14 practitioners
1 other NPI on this enrollment
Practice locations: Bolivia, NC; Wilmington, NC; Whiteville, NC; Supply, NC; Shallotte, NC; Morehead City, NC; Lumberton, NC; Gastonia, NC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

818 S Main St
Bladenboro, NC 28320
Phone (910) 755-5222

10 Referendum Dr NE
#F115
Bolivia, NC 28422
Phone (910) 253-5801

2550 Court Dr
Ste 103
Gastonia, NC 28054
Phone (704) 215-5822

2590 Onslow Dr
Jacksonville, NC 28540
Phone (252) 773-0195

305 Commerce Ave
Ste 102
Morehead City, NC 28557
Phone (252) 773-0050

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1346477403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 COMMERCE AVE",
            "address_2": "SUITE 102",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "28557",
            "telephone_number": "252-773-0195",
            "fax_number": "252-773-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DOCTORS CIRCLE",
            "address_2": "SUITE 6",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "28462",
            "telephone_number": "910-755-5222",
            "fax_number": "910-755-5255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100A Memory Plz",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284722640",
            "country_code": "US",
            "telephone_number": "910-640-2230",
            "fax_number": "910-640-1625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 Commerce Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Morehead City",
            "state": "NC",
            "postal_code": "285572971",
            "country_code": "US",
            "telephone_number": "252-772-0195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 W 27th St",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283583019",
            "country_code": "US",
            "telephone_number": "910-370-0434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 S 16th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284016419",
            "country_code": "US",
            "telephone_number": "910-769-4971",
            "fax_number": "910-769-6015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 Court Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280542152",
            "country_code": "US",
            "telephone_number": "704-215-5822",
            "fax_number": "704-215-5824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 S 16th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "28401",
            "country_code": "US",
            "telephone_number": "910-769-4971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL SOUTHEASTERN UNITED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2025-09-02",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "VP, HOME AND COMMUNITY SERVICES",
        "authorized_official_telephone_number": "843-806-2695",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Southeastern United Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Supply, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.