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HOLDEN BEACH MEDICAL CENTER, PA
NPI 1053547976
Clinic/Center - Primary Care in Supply, NC

Active since June 05, 2009CLIA 34D0994609 · Microscopy
2930 HOLDEN BEACH RD SW, SUPPLY, NC 28462(910) 842-5991(910) 842-5994 Get Directions Write a Review

NPPES record last updated: June 5, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holden Beach Medical Center, Pa NPPES

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

HOLDEN BEACH MEDICAL CENTER, PA (NPI 1053547976) is a healthcare organization registered as a primary care in Supply, North Carolina and active in the NPI registry since June 2009. The organization holds a CLIA Microscopy certificate valid through December 26, 2027 and lists Heather Merrow, Owner, as its authorized official.

NPPES Registry Identity

NPI1053547976
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHOLDEN BEACH MEDICAL CENTER, PA
Location Address2930 HOLDEN BEACH RD SWSupply, NC 28462-5702
Mailing Address2930 Holden Beach Rd SwSupply, NC 28462-5702 · (910) 842-5991 · Fax (910) 842-5994
Phone(910) 842-5991
Fax(910) 842-5994
Organization SubpartNo
Authorized OfficialHeather MerrowOwner · (910) 842-5991
Enumeration DateJune 5, 2009
✔ NPI 1053547976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NC · 103587
2930 HOLDEN BEACH RD SW, Supply, NC 28462
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CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 34D0994609

Holden Beach Medical Group · Holden Beach, NC
Active · expires Dec 26, 2027
CLIA Number34D0994609
Laboratory TypePhysician Office
Certificate Effective DateDecember 27, 2025
Certificate Expiration DateDecember 26, 2027
Laboratory DirectorHeather Merrow Pa-C
Laboratory Phone(910) 842-5991
Laboratory LocationHolden Beach Medical Group2930 Holden Beach Rd, Holden Beach, NC 28462
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AMY SUE KELLY PA-C
Physician Assistant
2930 HOLDEN BEACH RD SW
SUPPLY, NC 28462
Brunswick County (910) 842-5991
HOLDEN BEACH MEDICAL CENTER PA
Physician Assistant (Medical)
2930 HOLDEN BEACH RD SW
SUPPLY, NC 28462
Brunswick County (910) 842-5991
BERNARD LEROY LANGSTON III MD
Family Medicine
2930 HOLDEN BEACH RD SW
SUPPLY, NC 28462
Brunswick County (910) 842-5991

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 Holden Beach Medical Center, PA's NPI number?

The NPI number for Holden Beach Medical Center, PA is 1053547976. It was assigned to this organization in the NPPES registry on June 5, 2009.

Where is Holden Beach Medical Center, PA located?

Holden Beach Medical Center, PA is located at 2930 Holden Beach Rd SW, Supply, NC 28462. The listed phone number is (910) 842-5991.

What is Holden Beach Medical Center, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Holden Beach Medical Center, PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0994609) is associated with this NPI, valid through December 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Holden Beach Medical Center, PA was last updated on June 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.