COASTAL CONCIERGE HEALTH, PLLC
NPI 1184459661
Internal Medicine in Southport, NC

Active since September 04, 2024CLIA 34D2332858 · Waiver
801 N HOWE ST STE 5, SOUTHPORT, NC 28461(910) 622-0952 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2025, Jun 3, 2025, Apr 10, 2025 and 2 more (5 updates tracked since 2024).

About Coastal Concierge Health, Pllc NPPES

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

COASTAL CONCIERGE HEALTH, PLLC (NPI 1184459661) is a healthcare organization registered as an internal medicine in Southport, North Carolina and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through October 26, 2027 and lists Matthew Lucas, Np, as its authorized official.

NPPES Registry Identity

NPI1184459661
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOASTAL CONCIERGE HEALTH, PLLC
Location Address801 N HOWE ST STE 5Southport, NC 28461-3351
Mailing Address801 N Howe St Ste 5Southport, NC 28461-3351 · (910) 477-6002 · Fax (833) 974-3842
Organization SubpartNo
Authorized OfficialMatthew LucasNp · (910) 622-0952
Enumeration DateSeptember 4, 2024
Last NPPES UpdateDecember 12, 20255 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
NPI 1184459661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
801 N HOWE ST STE 5, Southport, NC 28461

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 34D2332858

Coastal Concierge Health, PLLC · Southport, NC
Active · expires Oct 26, 2027
CLIA Number34D2332858
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorMatthew J. Lucas
Laboratory Phone(910) 477-6002
Laboratory LocationCoastal Concierge Health, PLLC801 N Howe St, Ste 5, Southport, NC 28461
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
801 N HOWE ST STE 5
SOUTHPORT, NC 28461

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 Concierge Health, PLLC's NPI number?

The NPI number for Coastal Concierge Health, PLLC is 1184459661. It was assigned to this organization in the NPPES registry on September 4, 2024.

Where is Coastal Concierge Health, PLLC located?

Coastal Concierge Health, PLLC is located at 801 N Howe St Ste 5, Southport, NC 28461. The listed phone number is (910) 622-0952.

What is Coastal Concierge Health, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Coastal Concierge Health, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2332858) is associated with this NPI, valid through October 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coastal Concierge Health, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Coastal Concierge Health, PLLC 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 Concierge Health, PLLC was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.