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COASTAL VIRGINIA SPINE AND PAIN CENTER LLC
NPI 1114496734
Pain Medicine - Interventional Pain Medicine in Virginia Beach, VA

Active since November 14, 2018
4525 SOUTH BLVD STE 200, VIRGINIA BEACH, VA 23452(757) 227-3820(757) 226-9021 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 27, 2022, Aug 25, 2022, Nov 14, 2018 (3 updates tracked since 2018).

About Coastal Virginia Spine And Pain Center Llc NPPES

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

COASTAL VIRGINIA SPINE AND PAIN CENTER LLC (NPI 1114496734) is a healthcare organization registered as an interventional pain medicine in Virginia Beach, Virginia and active in the NPI registry since November 2018. The organization lists Amanda Ward, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1114496734
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameCOASTAL VIRGINIA SPINE AND PAIN CENTER LLC
Location Address4525 SOUTH BLVD STE 200Virginia Beach, VA 23452-1147
Mailing AddressPo Box 2546Virginia Beach, VA 23450-2546 · (757) 340-3489 · Fax (757) 340-4278
Phone(757) 227-3820
Fax(757) 226-9021
Organization SubpartNo
Authorized OfficialAmanda WardCredentialing Manager · (757) 340-3489
Enumeration DateNovember 14, 2018
Last NPPES UpdateOctober 27, 20223 updates tracked since enumeration
NPPES CertifiedOctober 27, 2022
✔ NPI 1114496734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
4525 SOUTH BLVD STE 200, Virginia Beach, VA 23452
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coastal Virginia Spine And Pain Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Coastal Virginia Spine And Pain Center LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Kathryn Bragg, PT
Physical Therapist in Private Practice
NPI 1851329676
4525 SOUTH BLVD STE 200
Virginia Beach, VA 23452
(757) 227-3820
✔ Accepts MedicareSame address
Bonnie Nock, DO
Physical Medicine and Rehabilitation
NPI 1346279833
4525 SOUTH BLVD STE 200
Virginia Beach, VA 23452
(757) 227-3820
✔ PECOS✔ Accepts MedicareSame address
Kristi Cartwright, N.P.
Nurse Practitioner
NPI 1922360718
272 BENDIX ROAD, SUITE 100 DENTON D. WEISS, MD, PLC
Virginia Beach, VA 23452
(757) 490-7545
✔ PECOS✔ Accepts Medicare0.3 mi
Scott Burch, M.S.P.T.
Physical Therapist in Private Practice
NPI 1427083682
5665 LOWERY ROAD SUITE 100
Norfolk, VA 23502
(757) 422-2966
✔ Accepts Medicare4.9 mi
Robin Levine, P.T.
Physical Therapist in Private Practice
NPI 1992730154
5665 LOWERY ROAD SUITE 100
Norfolk, VA 23502
(757) 422-2966
✔ Accepts Medicare4.9 mi
Robert Spear, DO
Physical Medicine and Rehabilitation
NPI 1497783153
1788 REPUBLIC RD STE 200
Virginia Beach, VA 23454
(757) 422-2966
✔ PECOS✔ Accepts Medicare6.0 mi

Source: 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 Virginia Spine And Pain Center LLC's NPI number?

The NPI number for Coastal Virginia Spine And Pain Center LLC is 1114496734. It was assigned to this organization in the NPPES registry on November 14, 2018.

Where is Coastal Virginia Spine And Pain Center LLC located?

Coastal Virginia Spine And Pain Center LLC is located at 4525 South Blvd Ste 200, Virginia Beach, VA 23452. The listed phone number is (757) 227-3820.

What is Coastal Virginia Spine And Pain Center LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Coastal Virginia Spine And Pain Center LLC enrolled in Medicare?

Yes. Coastal Virginia Spine And Pain Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Virginia Spine And Pain Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Coastal Virginia Spine And Pain Center LLC. 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 Physical Therapist in Private Practice (3), Physical Medicine and Rehabilitation (2) and Nurse Practitioner (1). Of these, 2 practice at this address and 6 within 10 miles. 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 Virginia Spine And Pain Center LLC was last updated on October 27, 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.