Coastal Carolina Care PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COASTAL CAROLINA CARE PLLC

Practice address

15441 US Highway 17 N Ste 501
Hampstead, NC 28443-0016

Phone

(910) 512-2520

Fax

(910) 900-8002

NPI assigned

Nov 12, 2019

Organization subpart

No

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

Authorized official

Name

Michael Thomas

Title

Chief Operating Officer

Phone

(910) 685-7307

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Coastal Carolina Care PLLC

  • Family Medicine Physician
  • Sneads Ferry, NC
  • NPI 1053146837
  NPPES parent name

Practitioners 10

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

• Andrea Lynn Maggard, FNP

  • Family Nurse Practitioner
  • Hampstead, NC
  • NPI 1790818250
  Medicare reassignment Care Compare group NPD
• Gordon Mitchell Layton, PA-C

  • Physician Assistant
  • Hampstead, NC
  • NPI 1356075261
  Medicare reassignment Care Compare group
• Caroline Fountain Moore, PA-C

  • Physician Assistant
  • Hampstead, NC
  • NPI 1639920432
  Medicare reassignment Care Compare group
• Carrie Harrell Thomas, PA-C

  • Physician Assistant
  • Hampstead, NC
  • NPI 1154661965
  Medicare reassignment Care Compare group
• Kristen Heffelfinger Wilson, PA-C

  • Medical Physician Assistant
  • Wilmington, NC
  • NPI 1851781439
  Medicare reassignment Care Compare group
• William Cody Byrd, PA

  • Physician Assistant
  • Sarasota, FL
  • NPI 1083211486

  NC

  Medicare reassignment Care Compare group
• Bradford K Faulkenberry, M.D.

  • Family Medicine Physician
  • Laurinburg, NC
  • NPI 1518915370
  Medicare reassignment NPD
• Raishael L Tessari, FNP

  • Family Nurse Practitioner
  • Wilmington, NC
  • NPI 1902435944

  Family Medicine

  Medicare reassignment NPD
• Amanda F Murray, PA-C

  • Physician Assistant
  • Cedar Point, NC
  • NPI 1578802039
  Medicare reassignment
• Erin Amira Whaling, PA-C

  • Physician Assistant
  • Wilmington, NC
  • NPI 1437776499
  Medicare reassignment

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1760027874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 WINE CELLAR CIR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119298",
            "telephone_number": "910-512-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15441 US HIGHWAY 17 N STE 501",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284430016",
            "telephone_number": "910-512-2520",
            "fax_number": "910-900-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CAROLINA CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2024-01-23",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "910-685-7307"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Bryan Caveness, M.D.
• Charles J. Schein D.D.S., PA (Hampstead Dental)
• Timothy Chen, DDS
• Michael Louis Cherubini, D.D.S., M.S.
• Juliette Jacky Clavier, PT, DPT
• Coastal Developmental Consulting
• Coastal Physical Therapy
• Coastal Ridge Health Services, PLLC
• Coastal Sound Audiology, PLLC
• Sarah Coats

• Family Medicine Physician in Hampstead, NC
• Providers in Hampstead, 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 Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.