Beach Medical Care, LTD.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25507 Issued in NC

Legal business name

BEACH MEDICAL CARE, LTD.

Practice address

5200 N Croatan Hwy
Kitty Hawk, NC 27949-3990

Phone

(252) 261-4187

Fax

(252) 261-5182

NPI assigned

Dec 11, 2013

Last updated

Dec 11, 2013By 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

James S Wilkinson, MDNPI 1386719805

Title

Secretary/Treasurer

Phone

(252) 261-4187

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• James S. Wilkinson, M. D.

  • Family Medicine Physician
  • Nags Head, NC
  • NPI 1386719805
  Authorized official Same address or phone

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1821429259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 N CROATAN HWY",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279493990",
            "telephone_number": "252-261-4187",
            "fax_number": "252-261-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 N CROATAN HWY",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279493990",
            "telephone_number": "252-261-4187",
            "fax_number": "252-261-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH MEDICAL CARE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "252-261-4187",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "25507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8945082",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Albemarle Physician Services Inc. (Sentara Family Medicine Physicians)
• Katelyn Nicole Angelo, FNP
• Lauren Endee Baer, FNP-C
• Philip Francis Bald, D.M.D
• Beach Haven Home Care LLC
• Beach Medical PLLC
• Bear Drugs Inc (Bear Drugs of Kitty Hawk)
• Bear Drugs Inc.
• Jacquelyn Forrest Best
• Shelly Kay Blackstone, MSW, LCSW-A

• Family Medicine Physician in Kitty Hawk, NC
• Providers in Kitty Hawk, 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 Dec 11, 2013; 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.