Coastal Spine & Sports Medicine, PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

COASTAL SPINE & SPORTS MEDICINE, PLLC

Practice address

1209 Culbreth Dr Ste 102
Wilmington, NC 28405-8318

Phone

(910) 834-8805

Fax

(910) 256-6039

NPI assigned

Aug 8, 2025

Last updated

Sep 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Francis S Pecoraro, MDNPI 1528021086

Title

Member/Manager

Phone

(910) 233-5093

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Coastal Spine Sports Medicine PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Coastal Spine & Sports Medicine, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Wilmington, NC
  • NPI 1700796869
  NPD tax ID

Practitioners 2

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.

• Francis S Pecoraro, MD

  • Interventional Pain Medicine Physician
  • Wilmington, NC
  • NPI 1528021086

  Physical Medicine & Rehabilitation

  Medicare reassignment Care Compare group NPD Authorized official
• Jill Ann McCulley, MS PAC

  • Physician Assistant
  • Wilmington, NC
  • NPI 1407819964
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1568347557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 TURNBERRY LN",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284055313",
            "telephone_number": "910-262-1048",
            "fax_number": "910-256-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 CULBRETH DR STE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284058318",
            "telephone_number": "910-834-8805",
            "fax_number": "910-256-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL SPINE & SPORTS MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "PECORARO",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "910-233-5093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Pulmonary Medicine PA
• Coastal Rehabilitation Associates
• Coastal Rehabilition Associates
• Coastal Speech and Language PLLC
• Coastal Speech Therapy Inc
• Coastal Spine & Sports Medicine, PLLC
• Coastal Support Specialists, Inc.
• Coastal Thoracic Surgical Associates, PA
• Coastal Urology PLLC
• Coastal Vascular Institute, PA

• Interventional Pain Medicine Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Interventional Pain Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.