COASTAL FAMILY PRACTICE PC
NPI 1295893097
Clinic/Center - Primary Care in Virginia Beach, VA

Active since December 05, 2006CLIA 49D0970528 · Waiver
2109 MCCOMAS WAY, SUITE 102, VIRGINIA BEACH, VA 23456(757) 563-2800 Get Directions Write a Review

NPPES record last updated: January 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastal Family Practice Pc NPPES

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

COASTAL FAMILY PRACTICE PC (NPI 1295893097) is a healthcare organization registered as a primary care in Virginia Beach, Virginia and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through February 15, 2028 and lists Mitchell B Miller, President, as its authorized official.

NPPES Registry Identity

NPI1295893097
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCOASTAL FAMILY PRACTICE PC
Location Address2109 MCCOMAS WAY, SUITE 102Virginia Beach, VA 23456-3909
Mailing Address2109 Mccomas Way, Suite 102Virginia Beach, VA 23456-3909 · (757) 563-2800
Organization SubpartNo
Authorized OfficialMitchell B MillerPresident · (757) 563-2800
Enumeration DateDecember 5, 2006
Last NPPES UpdateJanuary 30, 2009
NPI 1295893097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in VA · 0101032190
2109 MCCOMAS WAY, Virginia Beach, VA 23456

Other Identifiers 1

Medicare PINGC1148VA

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 49D0970528

Coastal Family Practice PC · Virginia Beach, VA
Active · expires Feb 15, 2028
CLIA Number49D0970528
Laboratory TypePhysician Office
Certificate Effective DateFebruary 16, 2026
Certificate Expiration DateFebruary 15, 2028
Laboratory DirectorMitchell B. Miller MD
Laboratory Phone(757) 563-2800
Laboratory LocationCoastal Family Practice PC2109 Mccomas Way Suite 102, Virginia Beach, VA 23456
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 3

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

Dentist
2109 MCCOMAS WAY
VIRGINIA BEACH, VA 23456
Dentist
2109 MCCOMAS WAY, ST 101
VIRGINIA BEACH, VA 23456
Family Medicine
2109 MCCOMAS WAY, STE 102
VIRGINIA BEACH, VA 23456

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 Family Practice PC's NPI number?

The NPI number for Coastal Family Practice PC is 1295893097. It was assigned to this organization in the NPPES registry on December 5, 2006.

Where is Coastal Family Practice PC located?

Coastal Family Practice PC is located at 2109 Mccomas Way Suite 102, Virginia Beach, VA 23456. The listed phone number is (757) 563-2800.

What is Coastal Family Practice PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Coastal Family Practice PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0970528) is associated with this NPI, valid through February 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coastal Family Practice PC was last updated on January 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.