Coastal Carolina Respiratory Services, Inc
Organization Active NPI Durable Medical Equipment & Medical Supplies · Beulaville, NC
NPI 1992858237 · NPPES record last updated Nov 17, 2025
Key facts
- NPI
- 1992858237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- COASTAL CAROLINA RESPIRATORY SERVICES, INC
- Practice address
- 802 E Main St
Beulaville, NC 28518-8714 - Phone
- (910) 298-6007
- Fax
- (910) 298-6009
- NPI assigned
- Jan 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Dwayne Weitzel, BS, RRT, RCP
- Title
- President/Owner
- Phone
- (724) 996-9409
Corporate family (same tax ID) 1
Practitioners 1
-
Lisa K. Pickett, RRT, RCP, AE-C
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Coastal Carolina Respiratory Servic |
Commodes, Urinals, Bedpans|Gastric Suction Pumps|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|Continuous Positive Airway Pressure (CPAP) De… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930058751 | NC | DME Supplier - Medical Supply Company |
1456555424 | Practice locations: Beulaville, NC |
National Provider Directory
- Tax ID family
- Coastal Carolina Respiratory Services
Locations
106 S Brown Rd
Beulaville, NC 28518
Phone (910) 298-6007
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes | ||
| Nursing Facility Supplies (DME) | 332BN1400X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
802 E Main St
Beulaville, NC 28518-8714
Mailing address
802 E Main St
Beulaville, NC 28518-8714
Phone (910) 298-6007
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7704680 | Medicaid | NC |
Other providers in Beulaville, NC
- Rebecca Suzanne Carpenter
- Abigail Judith Carter
- Caitlin Casey
- Kristie J. Cavanaugh
- Coastal Carolina Respiratory Services
- Craig a. Marva, DMD, PLLC
- Christopher Thad Dixon
- Bridget Renee Eason
- Edwards and Associates Physical Therapy
- Brittainy Raelena Edwards Kildow
All providers in Beulaville, NC · Durable Medical Equipment & Medical Supplies in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.