CCHC CREEKSIDE PRIMARY CARE
NPI 1073911822
Internal Medicine in New Bern, NC
About Cchc Creekside Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CCHC CREEKSIDE PRIMARY CARE (NPI 1073911822) is a healthcare organization registered as an internal medicine in New Bern, North Carolina and active in the NPI registry since December 2014. The organization holds 2 active CLIA laboratory certificates and lists Stephen W Nuckolls, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
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 Creekside Primary Care 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 Creekside Primary Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 81 within 10 miles. 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.
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 34D2284752
Cchc - Creekside Primary Care · New Bern, NCCertificate of Accreditation 34D1078732
Coastal Carolina Health Care, PA Central Lab · New Bern, NCFrequently 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 1073911822. It was assigned to this organization in the NPPES registry on December 10, 2014. The provider is doing business as Cchc Creekside Primary Care.
Where is Coastal Carolina Health Care PA located?
Coastal Carolina Health Care PA is located at 1010 Lathan Ln, New Bern, NC 28562. The listed phone number is (252) 672-0224.
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, 1 practice at this address and 81 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Coastal Carolina Health Care PA 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.
What insurance does Coastal Carolina Health Care PA accept?
Health plans from Blue Cross and Blue Shield of NC list Coastal Carolina Health Care PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 Creekside Primary Care · NPI 1073911822
Internal Medicine organization in New Bern, North Carolina. Organization record, active in the CMS NPPES registry since December 10, 2014.
## Identity
- **NPI:** 1073911822 (Entity type: Organization)
- **Enumerated:** December 10, 2014
- **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:** 1010 LATHAN LN, New Bern, NC 28562-4002
- **Phone:** (252) 672-0224
## 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); 1 practice at this address and 81 within 10 miles; [full list](https://npiprofile.com/npi/1073911822/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 1, 2024
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073911822) · Data from the CMS NPPES public registry.