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COASTAL CAROLINA CARE PLLC
NPI 1053146837
Family Medicine in Sneads Ferry, NC

Active since September 03, 2024CLIA Certified · 2 labs
1072 NC HIGHWAY 210, SNEADS FERRY, NC 28460(910) 685-7307 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coastal Carolina Care Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL CAROLINA CARE PLLC (NPI 1053146837) is a healthcare organization registered as a family medicine in Sneads Ferry, North Carolina and active in the NPI registry since September 2024. The organization holds 2 active CLIA laboratory certificates and lists Michael Thomas, Cfo, as its authorized official.

NPPES Registry Identity

NPI1053146837
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOASTAL CAROLINA CARE PLLC
Location Address1072 NC HIGHWAY 210Sneads Ferry, NC 28460-9137
Mailing Address1072 Nc Highway 210Sneads Ferry, NC 28460-9137
Phone(910) 685-7307
Organization SubpartYes
Authorized OfficialMichael ThomasCfo · (910) 512-2520
Enumeration DateSeptember 3, 2024
NPPES CertifiedSeptember 3, 2024
✔ NPI 1053146837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
1072 NC HIGHWAY 210, Sneads Ferry, NC 28460
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2316868

Coastal Carolina Care, PLLC · Sneads Ferry, NC
Active · expires Jan 13, 2027
CLIA Number34D2316868
Laboratory TypePhysician Office
Certificate Effective DateJanuary 14, 2025
Certificate Expiration DateJanuary 13, 2027
Laboratory DirectorCarrie H. Thomas
Laboratory Phone(910) 685-7307
Laboratory LocationCoastal Carolina Care, PLLC1072 Nc Hwy 210 Suite A, Sneads Ferry, NC 28460
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2177058

Coastal Carolina Care, PLLC · Hampstead, NC
Active · expires Jan 1, 2028
CLIA Number34D2177058
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 2, 2026
Certificate Expiration DateJanuary 1, 2028
Laboratory DirectorCarrie H. Thomas
Laboratory Phone(910) 685-7307
Laboratory LocationCoastal Carolina Care, PLLC15441 Us Highway 17 Suite 501, Hampstead, NC 28443
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Carolina Care PLLC's NPI number?

The NPI number for Coastal Carolina Care PLLC is 1053146837. It was assigned to this organization in the NPPES registry on September 3, 2024.

Where is Coastal Carolina Care PLLC located?

Coastal Carolina Care PLLC is located at 1072 Nc Highway 210, Sneads Ferry, NC 28460. The listed phone number is (910) 685-7307.

What is Coastal Carolina Care PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Coastal Carolina Care PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Coastal Carolina Care PLLC was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.