Individual provider Active NPI

Deborah Coggins Varnam, FNP

  • Family Nurse Practitioner
  • Shallotte, NC
National Provider Identifier
1922075910
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201308 Issued in NC
Practice address
712 Village Rd
Suite 106
Shallotte, NC 28470
Phone
(910) 754-2273
Fax
(910) 754-2254
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201308 NC Primary

Addresses

Primary practice location

712 Village Rd
Suite 106
Shallotte, NC 28470

Mailing address

712 Village Rd Ste 106
Shallotte, NC 28470-3449
Phone (910) 754-2273

Other practice location 1

4503 Main St Ste 1
Shallotte, NC 28470-4583
Phone (910) 754-2273

Other identifiers 3

IdentifierTypeStateIssuer
191089OtherNCMEDCOST
1001722OtherNCAETNA
7003823MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060830000405 NC Practitioner - Nurse Practitioner 5395749584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RDMG Associates PAGroup PAC ID 9537442215, 27 clinicians

Practice addresses (Care Compare)

4503 Main St
Unit 1
Shallotte, NC 28470-4447
Phone (910) 754-2273

Hospital & facility affiliations

  • Well Care Home Health Home health agency, Wilmington, NC, CCN 347002
  • Nhrmc Home Care Home health agency, Rocky Point, NC, CCN 347065
  • Novant Health Brunswick Medical Center Hospital, Supply, NC, CCN 340158
  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Durham Medical Group, PA Family Current Accepting new patients
RDMG Associates PA CurrentSince Jan 1, 2017 Accepting new patients
RDMG Associates, PA CurrentSince Jan 1, 2017 Accepting new patients
Reschly Family Medicine PA Past Accepting new patients
RDMG Associates PA Past Accepting new patients

Locations

10620 Park Rd
Ste 128
Charlotte, NC 28210
Phone (704) 542-6111

4503 Main St
Ste 1
Shallotte, NC 28470
Phone (910) 754-2273

Interoperability endpoints

  • Direct secure messaging: deborahvarnam@sws.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1922075910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 VILLAGE RD STE 106",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284703449",
            "telephone_number": "910-754-2273",
            "fax_number": "910-754-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 VILLAGE RD",
            "address_2": "SUITE 106",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "28470",
            "telephone_number": "910-754-2273",
            "fax_number": "910-754-2254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4503 Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Shallotte",
            "state": "NC",
            "postal_code": "284704583",
            "country_code": "US",
            "telephone_number": "910-754-2273",
            "fax_number": "910-754-2254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARNAM",
        "first_name": "DEBORAH",
        "middle_name": "COGGINS",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "191089",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1001722",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003823",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shallotte, NC

Sources for this page

Verify at the official NPI Registry.