COASTAL CAROLINA RADIATION ONCOLOGY, PLLC
NPI 1164448130
Clinic/Center - Oncology, Radiation in Wilmington, NC

Q: What is Coastal Carolina Radiation Oncology, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oncology, Radiation, with taxonomy code 261QX0203X.

Active since July 14, 2006

1988 S 16TH ST, WILMINGTON, NC 28401(910) 662-8440(910) 795-4826 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 29, 2026, Dec 3, 2024, Nov 19, 2024 and 7 more (10 updates tracked since 2017).

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About Coastal Carolina Radiation Oncology, Pllc NPPES

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

COASTAL CAROLINA RADIATION ONCOLOGY, PLLC (NPI 1164448130) is a healthcare organization registered as an oncology, radiation in Wilmington, North Carolina and active in the NPI registry since July 2006. The organization maintains 5 additional practice locations and lists Michael Alex Papagikos, Ao, as its authorized official.

NPPES Registry Identity

NPI1164448130

Entity TypeOrganization

Primary Taxonomy261QX0203X

Legal Business NameCOASTAL CAROLINA RADIATION ONCOLOGY, PLLC

Location Address1988 S 16TH STWilmington, NC 28401-6647

Mailing Address200 Queens Rd Ste 400Charlotte, NC 28204-3264 · (704) 765-2578 · Fax (704) 333-3397

Phone(910) 662-8440

Fax(910) 795-4826

Organization SubpartNo

Authorized OfficialMichael Alex PapagikosAo · (910) 662-8440

Enumeration DateJuly 14, 2006

Last NPPES UpdateJuly 29, 202610 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1164448130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Oncology, RadiationAmbulatory Health Care Facilities

Taxonomy Code261QX0203X

Also ListedSpecialistTaxonomy 174400000X

1988 S 16TH ST, Wilmington, NC 28401

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Secondary Practice Locations 5

Location 1151 Scotts Hill Medical DrWilmington, NC 28411-7983 · Phone (910) 662-8440 · Fax (910) 667-6733

Location 22131 S 17th StWilmington, NC 28401-7407 · Phone (910) 342-3004 · Fax (910) 342-3097

Location 3545 Ocean Hwy WSupply, NC 28462-4047 · Phone (910) 253-3380 · Fax (910) 338-3993

Location 41988B S 16th StWilmington, NC 28401-6647 · Phone (910) 662-8440 · Fax (910) 251-8286

Location 51988A S 16th StWilmington, NC 28401-6647 · Phone (910) 662-8440 · Fax (910) 795-4826

Other Identifiers 4

Other0103JBcbs

Medicaid5921285NC

Medicaid890103JNC

Medicaid5912071NC

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 Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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)

Coastal Carolina Radiation Oncology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 10 clinicians reassign Medicare billing to Coastal Carolina Radiation Oncology, PLLC, which bills Medicare for the services they deliver. Of these, 10 practice at this address. They are listed nearest first.