Carolina Coast Primary Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CAROLINA COAST PRIMARY MEDICINE

Practice address

275 N NC 24 & 50 Hwy
Kenansville, NC 28349-0148

Phone

(910) 296-1087

Fax

(910) 296-1086

NPI assigned

Jul 1, 2006

Last updated

Nov 1, 2012By 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

Mrs. Bertha1 Taylor- Miller, FNP

Title

Manager

Phone

(910) 296-1087

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1669401964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283490148",
            "telephone_number": "910-296-1087",
            "fax_number": "910-296-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 N NC 24 & 50 HWY",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283490148",
            "telephone_number": "910-296-1087",
            "fax_number": "910-296-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA COAST PRIMARY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BERTHA1",
        "authorized_official_middle_name": "TAYLOR-",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "910-296-1087",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "11515",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900323",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amos Quinn Brinson Jr., RPH
• Carie M Brown, FNP-C
• Benjamin Lloyd Byerly, DO
• Felice Noel Carlton, DNP, RN, FNP-C
• Carolina Ambulance Specialty Transport, Inc.
• Carolina East Home Care & Hospice
• Carolina East Home Care & Hospice Inc
• Carolina East Home Care & Hospice Inc
• Carolina East Home Care & Hospice, Inc
• Carolina East Home Care & Hospice, Inc

• Family Medicine Physician in Kenansville, NC
• Providers in Kenansville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.