Coastal Pain Medicine, LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

COASTAL PAIN MEDICINE, LLC

Practice address

2905 Groveland Dr
Greenville, NC 27858-7188

Phone

(888) 418-0333

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Thomas Grubb, M.D.NPI 1699741421

Title

Manager, Direct Owner

Phone

(888) 418-0333

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 4

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

• Christopher Thomas Grubb, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Greenville, NC
  • NPI 1699741421
  NPD (past) Authorized official
• Lynn R Johnson, MD

  • Pain Medicine (Anesthesiology) Physician
  • Greenville, NC
  • NPI 1508835091
  NPD (past)
• Anthony Louis Dragovich, MD

  • Pain Medicine (Anesthesiology) Physician
  • Salem, VA
  • NPI 1134236763
  NPD (past)
• Neil A. McDonald, M.D.

  • Anesthesiology Physician
  • Westwood, MA
  • NPI 1083633390
  NPD (past)

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1902094485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30692",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278330692",
            "fax_number": "888-418-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 GROVELAND DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278587188",
            "telephone_number": "888-418-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PAIN MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "GRUBB",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGER, DIRECT OWNER",
        "authorized_official_telephone_number": "888-418-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "019PK",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrett Cline
• Andrew Christopher Clouse, LCMHCA
• Jonathan Macfarlane Coakham, MD
• Michael Robert Coan, MD
• Coastal Carolina Cardiology, P.a.
• Coastal Therapeutic Services
• Coastal Wellness Infusion Clinic PLLC
• Elizabeth Coats, CNM
• Ashley B Cobb, FNP-C
• Diana Coble

• Pain Medicine (Anesthesiology) Physician in Greenville, NC
• Providers in Greenville, NC by specialty
• Pain Medicine (Anesthesiology) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.