CCHC PAMLICO MEDICAL CENTER
NPI 1063962074
Internal Medicine in Bayboro, NC
About Cchc Pamlico Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CCHC PAMLICO MEDICAL CENTER (NPI 1063962074) is a healthcare organization registered as an internal medicine in Bayboro, North Carolina and active in the NPI registry since October 2016. The organization lists Stephen W Nuckolls, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cchc Pamlico Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
119Medicare enrollment records show 119 clinicians reassign Medicare billing to Cchc Pamlico Medical Center, which bills Medicare for the services they deliver. Of these, 6 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 19
Nearest to this location (20)
See all 119Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health Care PA's NPI number?
The NPI number for Coastal Carolina Health Care PA is 1063962074. It was assigned to this organization in the NPPES registry on October 13, 2016. The provider is doing business as Cchc Pamlico Medical Center.
Where is Coastal Carolina Health Care PA located?
Coastal Carolina Health Care PA is located at 606 Main St, Bayboro, NC 28515. The listed phone number is (252) 745-3191.
What is Coastal Carolina Health Care PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Coastal Carolina Health Care PA enrolled in Medicare?
Yes. Coastal Carolina Health Care PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coastal Carolina Health Care PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 119 clinicians in 19 Medicare specialties reassign their Medicare billing to Coastal Carolina Health Care PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (29), Family Practice (22) and Diagnostic Radiology (18). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Coastal Carolina Health Care PA was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Cchc Pamlico Medical Center · NPI 1063962074
Internal Medicine organization in Bayboro, North Carolina. Organization record, active in the CMS NPPES registry since October 13, 2016.
## Identity
- **NPI:** 1063962074 (Entity type: Organization)
- **Enumerated:** October 13, 2016
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Coastal Carolina Health Care Pa
- **Organization subpart:** No
- **Authorized official:** Stephen Nuckolls, CEO
## Practice location
- **Address:** 606 MAIN ST, Bayboro, NC 28515-9632
- **Phone:** (252) 745-3191
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 119 clinicians in 19 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (29), Family Practice (22), Diagnostic Radiology (18); 6 practice at this address; [full list](https://npiprofile.com/npi/1063962074/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1063962074) · Data from the CMS NPPES public registry.