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BRUNSWICK FAMILY MEDICAL AT OCEAN ISLE BEACH
NPI 1114028859
Family Medicine in Shallotte, NC

Active since September 26, 2006CLIA Certified · 2 labs
712 VILLAGE RD SW STE 104, SHALLOTTE, NC 28470(910) 754-7607(910) 754-7608 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 18, 2022, Jun 6, 2019, May 9, 2019 (3 updates tracked since 2019).

About Brunswick Family Medical At Ocean Isle Beach NPPES

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

BRUNSWICK FAMILY MEDICAL AT OCEAN ISLE BEACH (NPI 1114028859) is a healthcare organization registered as a family medicine in Shallotte, North Carolina and active in the NPI registry since September 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Ocean Isle Beach, and lists Jim Steed, President, as its authorized official.

NPPES Registry Identity

NPI1114028859
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOLUMBUS FAMILY MEDICAL PA
Location Address712 VILLAGE RD SW STE 104Shallotte, NC 28470-3449
Mailing AddressPo Box 859Whiteville, NC 28472-0859 · (910) 642-9800 · Fax (910) 642-9816
Phone(910) 754-7607
Fax(910) 754-7608
Organization SubpartNo
Authorized OfficialJim SteedPresident · (910) 234-1686
Enumeration DateSeptember 26, 2006
Last NPPES UpdateAugust 18, 20223 updates tracked since enumeration
NPPES CertifiedAugust 18, 2022
✔ NPI 1114028859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

712 VILLAGE RD SW STE 104, Shallotte, NC 28470
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Other Names 3

Doing Business AsBrunswick Family Medical At Ocean Isle Beach
Doing Business AsBrunswick Family Medical
Other NameJoseph E Roberts Md

Secondary Practice Location 1

Location 11601 Seaside Rd SW Ste 2Ocean Isle Beach, NC 28469-5410 · Phone (910) 575-0281

Other Identifiers 1

Medicaid5902118NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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 34D2167981

Brunswick Family Medical · Shallotte, NC
Active · expires Jun 18, 2027
CLIA Number34D2167981
Laboratory TypePhysician Office
Certificate Effective DateJune 19, 2025
Certificate Expiration DateJune 18, 2027
Laboratory DirectorJohn A. Blake
Laboratory Phone(910) 754-7607
Laboratory LocationBrunswick Family Medical712 Village Road, Suite 104, Shallotte, NC 28470
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2167984

Brunswick Family Medical At Carolina Shores · Calabash, NC
Active · expires Jun 18, 2027
CLIA Number34D2167984
Laboratory TypePhysician Office
Certificate Effective DateJune 19, 2025
Certificate Expiration DateJune 18, 2027
Laboratory DirectorKathy Walker
Laboratory Phone(910) 575-0281
Laboratory LocationBrunswick Family Medical At Carolina Shores9869 - 10 Ocean Highway West, Calabash, NC 28467
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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.

MS. KATHLEEN MURPHY PA-C
Physician Assistant (Medical)
712 VILLAGE RD SW STE 104
SHALLOTTE, NC 28470
Brunswick County (910) 754-7607
JOHN A BLAKE PA-C
Physician Assistant
712 VILLAGE RD SW STE 104
SHALLOTTE, NC 28470
Brunswick County (910) 754-7607
COLUMBUS FAMILY MEDICAL PA
Clinic/Center (Primary Care)
712 VILLAGE RD SW STE 104
SHALLOTTE, NC 28470
Brunswick County (910) 754-7607

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 Columbus Family Medical PA's NPI number?

The NPI number for Columbus Family Medical PA is 1114028859. It was assigned to this organization in the NPPES registry on September 26, 2006. The provider is doing business as Brunswick Family Medical At Ocean Isle Beach and Brunswick Family Medical. The provider is also known as Joseph E Roberts MD.

Where is Columbus Family Medical PA located?

Columbus Family Medical PA is located at 712 Village Rd SW Ste 104, Shallotte, NC 28470. The listed phone number is (910) 754-7607.

What is Columbus Family Medical PA's specialty?

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

Does Columbus Family Medical 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 Columbus Family Medical PA accept?

Health plans from Blue Cross and Blue Shield of NC list Columbus Family Medical 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 Columbus Family Medical PA was last updated on August 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.