Active NPI
Deborah Coggins Varnam, FNP
- Family Nurse Practitioner
- Shallotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201308
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191089 | Other | NC | MEDCOST |
| 1001722 | Other | NC | AETNA |
| 7003823 | Medicaid | NC |
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
Enrollment records 1
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
Practice addresses (Care Compare)
4503 Main St
Unit 1
Shallotte, NC 28470-4447
Phone (910) 754-2273
Hospital & facility affiliations
- Well Care Home Health
- Nhrmc Home Care
- Novant Health Brunswick Medical Center
- Novant Health New Hanover Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raleigh Durham Medical Group, PA | Family | Current | Accepting new patients |
| RDMG Associates PA | Current | Accepting new patients | |
| RDMG Associates, PA | Current | 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
- 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.
-
- Family Medicine Physician
- Asheville, NC
- NPI 1386195865
-
- Family Medicine Physician
- Shallotte, NC
- NPI 1720458326
-
- Sleep Medicine (Internal Medicine) Physician
- Greensboro, NC
- NPI 1518637065
-
- Family Medicine Physician
- Roxboro, NC
- NPI 1306397807
-
- Family Medicine Physician
- Southport, NC
- NPI 1093825044
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bolivia, NC
- NPI 1710915756
-
- Home Health Agency
- Rocky Point, NC
- NPI 1144548405
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
-
- Home Health Agency
- Wilmington, NC
- NPI 1760470660
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.