Coastal Foot Center, LLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

Legal business name

COASTAL FOOT CENTER, LLC

Practice address

29 Office Park Drive
Suite B
Jacksonville, NC 28546-3219

Phone

(910) 938-6000

Fax

(910) 938-3618

NPI assigned

May 17, 2018

Organization subpart

No

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

Authorized official

Name

Valentine Hamilton, D.P.M.NPI 1114085321

Title

Owner/Physician

Phone

(910) 938-6000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Valentine T Hamilton, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Jacksonville, NC
  • NPI 1114085321

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1346730173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 OFFICE PARK DRIVE",
            "address_2": "SUITE B",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285463219",
            "telephone_number": "910-938-6000",
            "fax_number": "910-938-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 OFFICE PARK DRIVE",
            "address_2": "SUITE B",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285463219",
            "telephone_number": "910-938-6000",
            "fax_number": "910-938-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL FOOT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2024-04-03",
        "certification_date": "2024-03-02",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "VALENTINE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "910-938-6000",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Childrens Services PLLC
• Coastal Childrens Services, PLLC
• Coastal Community Services, LLC
• Coastal Diagnostic Imaging, PLLC
• Coastal Foot Center
• Coastal Headache Clinic PLLC
• Coastal Horizons Center Inc.
• Coastal Massage and Wellness
• Coastal Mobile Medical Doctor, PA
• Coastal Nephrology, P.a.

• Primary Podiatric Medicine Podiatrist in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Primary Podiatric Medicine Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.