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COASTAL CAROLINA RADIOLOGY, PLLC
NPI 1306029004
Radiology - Diagnostic Radiology in Elizabeth City, NC

Active since December 17, 2007
1144 N ROAD ST, HWY 17N, ELIZABETH CITY, NC 27909(252) 384-4615(252) 384-4684 Get Directions Write a Review

NPPES record last updated: April 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coastal Carolina Radiology, Pllc NPPES

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

COASTAL CAROLINA RADIOLOGY, PLLC (NPI 1306029004) is a healthcare organization registered as a diagnostic radiology in Elizabeth City, North Carolina and active in the NPI registry since December 2007. The organization lists William Jefferson Beavers, Member, as its authorized official.

NPPES Registry Identity

NPI1306029004
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameCOASTAL CAROLINA RADIOLOGY, PLLC
Location Address1144 N ROAD ST, HWY 17NElizabeth City, NC 27909-3353
Mailing AddressPo Box 12017Newport News, VA 23612-2017 · (757) 867-6101 · Fax (757) 867-6588
Phone(252) 384-4615
Fax(252) 384-4684
Organization SubpartNo
Authorized OfficialWilliam Jefferson BeaversMember · (252) 384-4615
Enumeration DateDecember 17, 2007
Last NPPES UpdateApril 28, 2008
✔ NPI 1306029004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1144 N ROAD ST, Elizabeth City, NC 27909
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Other Identifiers 4

Medicare PINDG9218NC
Medicare PIN232218NC
Other019YNNC · Bcbs
Medicaid5908639NC

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

ANESTHESIA SERVICES OF ALBEMARLE LLC
Anesthesiology
1144 N ROAD ST
ELIZABETH CITY, NC 27909
Pasquotank County (252) 335-0531
ATLANTIC INFECTIOUS DISEASES
Internal Medicine (Infectious Disease)
1144 N ROAD ST
ELIZABETH CITY, NC 27909
Pasquotank County (252) 384-2830
SARAH ELIZABETH KENYON
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1144 N ROAD ST, (DEPARTMENT OF PHARMACV)
ELIZABETH CITY, NC 27909
Pasquotank County (252) 384-4642
AMANDEEP SINGH MD
Internal Medicine
1144 N ROAD ST
ELIZABETH CITY, NC 27909
Pasquotank County (252) 335-0531
MIDWEST MEDICAL TRANSPORT COMPANY LLC
Ambulance
1144 N ROAD ST
ELIZABETH CITY, NC 27909
Pasquotank County (800) 563-3396
JOHN MARTIN WHALEN CRNA
Nurse Anesthetist, Certified Registered
1144 N ROAD ST
ELIZABETH CITY, NC 27909
Pasquotank County (252) 335-0531
ALBEMARLE PHYSICIAN SERVICES - SENTARA, INC
Orthopaedic Surgery
1144 N ROAD ST, STE 200
ELIZABETH CITY, NC 27909
Pasquotank County (252) 384-2360
VINCENT J KOPP MD
Anesthesiology
1144 N ROAD ST
ELIZABETH CITY, NC 27909
Pasquotank County (252) 335-0531

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 Carolina Radiology, PLLC's NPI number?

The NPI number for Coastal Carolina Radiology, PLLC is 1306029004. It was assigned to this organization in the NPPES registry on December 17, 2007.

Where is Coastal Carolina Radiology, PLLC located?

Coastal Carolina Radiology, PLLC is located at 1144 N Road St Hwy 17N, Elizabeth City, NC 27909. The listed phone number is (252) 384-4615.

What is Coastal Carolina Radiology, PLLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Coastal Carolina Radiology, PLLC was last updated on April 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.