Coastal Regional Health & Wellness, PLLC
Organization Active NPI Family Nurse Practitioner · Bayboro, NC
NPI 1497578660 · NPPES record last updated Jul 7, 2026
Key facts
- NPI
- 1497578660
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- COASTAL REGIONAL HEALTH & WELLNESS, PLLC
- Practice address
- 15539 NC Hwy 55
Bayboro, NC 28515 - Phone
- (828) 446-6241
- NPI assigned
- Nov 5, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Amanda M. Cline-Grant, DC, FNP-BC
- Title
- Officer
- Phone
- (252) 999-3799
Practitioners 1
-
Amanda Michelle Cline-Grant, DC, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251022002035 | NC | Part B Supplier - Clinic/Group Practice | 3870081813 |
Receives reassigned benefits from 1 practitioner Practice locations: Bayboro, NC |
National Provider Directory
Locations
15539 NC Highway 55
Bayboro, NC 28515
Phone (252) 999-3799
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
15539 NC Hwy 55
Bayboro, NC 28515
Mailing address
PO Box 98
Grantsboro, NC 28529-0098
Phone (252) 999-3799
Other providers in Bayboro, NC
- Linda Jan Boothe
- C. Kelly Holdings, Inc
- Stephanie Demetra Carperos
- Margaret L Choate
- Coastal Carolina Health Care PA
- County of Pamlico
- County of Pamlico
- County of Pamlico
- County of Pamlico
- County of Pamlico
All providers in Bayboro, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.