Sandy Shores Medical Center and Urgent Care

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

SANDY SHORES MEDICAL CENTER AND URGENT CARE

Practice address

13741 NC Highway 50 Ste a
Surf City, NC 28445-6935

Phone

(910) 777-2732

Fax

(910) 777-2742

NPI assigned

Feb 17, 2021

Organization subpart

No

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

Authorized official

Name

Kayla Walker, FNP-BCNPI 1548745359

Title

Owner

Phone

(910) 271-7317

Specialties & licenses 1

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.

• Sandy Shores Primary Care, PLLC

  • Primary Care Clinic/Center
  • Surf City, NC
  • NPI 1508511767
  NPPES parent name

Practitioners 9

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

• Kayla Sholar Walker, FNP

  • Family Nurse Practitioner
  • Wallace, NC
  • NPI 1548745359

  NC

  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer Nicole Brennan, FNP

  • Nurse Practitioner
  • Wallace, NC
  • NPI 1730804907

  NC

  Medicare reassignment Care Compare group NPD
• Rebecca Banks Gilbert, DNP, FNP-BC

  • Family Nurse Practitioner
  • Wallace, NC
  • NPI 1386325116

  NC

  Medicare reassignment Care Compare group NPD
• Katie Lynn Hill, FNP

  • Family Nurse Practitioner
  • Camp Lejeune, NC
  • NPI 1609435684

  NC

  Medicare reassignment Care Compare group NPD
• Charlotte Lee Hough, FNP

  • Family Nurse Practitioner
  • Greenville, NC
  • NPI 1497746093

  NC

  Medicare reassignment Care Compare group NPD
• Rebecca Lynn Cooper, PA-C

  • Medical Physician Assistant
  • Surf City, NC
  • NPI 1104159540

  NC

  Medicare reassignment Care Compare group
• Brandi Hartman Willard, NP-C

  • Family Nurse Practitioner
  • Loganville, GA
  • NPI 1619083797

  NC

  Medicare reassignment NPD
• Samantha Lorraine Rodgers, PA

  • Physician Assistant
  • Wilmington, NC
  • NPI 1801118765

  NC

  Medicare reassignment
• Emma Christine Sawyer, FNP-C

  • Family Nurse Practitioner
  • Imperial Beach, CA
  • NPI 1851964845
  NPD

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1821681271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13741 NC HIGHWAY 50 STE A",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "284456935",
            "telephone_number": "910-777-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13741 NC HIGHWAY 50 STE A",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "284456935",
            "telephone_number": "910-777-2732",
            "fax_number": "910-777-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY SHORES MEDICAL CENTER AND URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-271-7317",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Ostrishko, LPC
• Judith Paliotti, RPH
• Heather R Perkins, LPC, LCMHCA, LCASA
• Primary Vision Care Center, O.D., P.a.
• Providence Physical Therapy, LLC
• Sandy Shores Primary Care, PLLC
• Tina Marie Stanley, R.T.
• Still Waters Therapy PLLC
• Danielle D Sullivan, LMFTA
• Surf City Urgent Care and Family Medicine PLLC

• Urgent Care Clinic/Center in Surf City, NC
• Providers in Surf City, NC by specialty
• Urgent Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.