Coastal Women'S Health & Wellness, PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

COASTAL WOMEN'S HEALTH & WELLNESS, PLLC

Practice address

1616 Doctors Cir
Wilmington, NC 28401-7406

Phone

(661) 332-1553

NPI assigned

Jun 25, 2021

Organization subpart

No

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

Authorized official

Name

Elyse Watkins, DHSC, PA-CNPI 1639273204

Title

Owner

Phone

(661) 332-1553

Specialties & licenses 1

Addresses

Practitioners 1

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

• Elyse Jan Watkins

  • Physician Assistant
  • Clemmons, NC
  • NPI 1639273204
  NPD Authorized official

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1790355501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 JASPER PL # 16",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284093694",
            "telephone_number": "661-332-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 DOCTORS CIR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017406",
            "telephone_number": "661-332-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL WOMEN'S HEALTH & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "ELYSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-332-1553",
        "authorized_official_credential": "DHSC, PA-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Thoracic Surgical Associates, PA
• Coastal Urology PLLC
• Coastal Vascular Institute, PA
• Coastal Vision Center
• Coastal Vitality, LLC
• Coastal Womens Care PC
• Coastalcare
• Coastline Gynecology PA
• Coastline Therapy Group, LLC
• Lori Cochard, MSW, LCSW

• Health Service Clinic/Center in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Health Service Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.