BRUNSWICK FAMILY MEDICAL AT OCEAN ISLE BEACH
NPI 1114028859
Family Medicine in Shallotte, NC
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
Specialties & Licenses
Other Names 3
Secondary Practice Location 1
Other Identifiers 1
Group Practice 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)
Brunswick Family Medical At Ocean Isle Beach is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Brunswick Family Medical At Ocean Isle Beach, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (4)
Source: 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 34D2167981
Brunswick Family Medical · Shallotte, NCCertificate of Waiver 34D2167984
Brunswick Family Medical At Carolina Shores · Calabash, 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 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.
Is Columbus Family Medical PA enrolled in Medicare?
Yes. Columbus Family Medical PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Columbus Family Medical PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Columbus Family Medical 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 (3) and Family Practice (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Brunswick Family Medical At Ocean Isle Beach · NPI 1114028859
Family Medicine organization in Shallotte, North Carolina. Organization record, active in the CMS NPPES registry since September 26, 2006.
## Identity
- **NPI:** 1114028859 (Entity type: Organization)
- **Enumerated:** September 26, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Columbus Family Medical Pa
- **Also known as:** Brunswick Family Medical (Doing Business As); JOSEPH E ROBERTS MD (Other Name)
- **Organization subpart:** No
- **Authorized official:** Jim Steed, PRESIDENT
## Practice location
- **Address:** 712 VILLAGE RD SW STE 104, Shallotte, NC 28470-3449
- **Phone:** (910) 754-7607 · **Fax:** (910) 754-7608
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 18, 2022
- **Other identifiers:** Medicaid 5902118 (NC)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114028859) · Data from the CMS NPPES public registry.