NPIMap

Organization Active NPI

Coastal Carolina Pathology, PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Wilmington, NC
National Provider Identifier
1487170387
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
COASTAL CAROLINA PATHOLOGY, PA
Practice address
2606 Iron Gate Dr Ste 201
Wilmington, NC 28412-2494
Phone
(910) 395-4441
Fax
(910) 395-7074
NPI assigned
Aug 22, 2017
Organization subpart
Yes
Parent organization
COASTAL CAROLINA PATHOLOGY, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Warren C White, MDNPI 1861537664
Title
President
Phone
(910) 395-4441

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

2606 Iron Gate Dr Ste 201
Wilmington, NC 28412-2494

Mailing address

2606 Iron Gate Dr Ste 201
Wilmington, NC 28412-2494
Phone (910) 395-4441

Other identifiers 1

IdentifierTypeStateIssuer
7001210MedicaidNC

Other names 1

  • Coastal Carolina Pathology, PA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Coastal Carolina Pathology2 organizations share this tax ID, including this one
Part of
Coastal Carolina Pathology

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487170387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 IRON GATE DR STE 201",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122494",
            "telephone_number": "910-395-4441",
            "fax_number": "910-395-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 IRON GATE DR STE 201",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122494",
            "telephone_number": "910-395-4441",
            "fax_number": "910-395-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CAROLINA PATHOLOGY, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL CAROLINA PATHOLOGY, PA",
        "enumeration_date": "2017-08-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-395-4441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001210",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Carolina Pathology, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.