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COASTAL MOBILE MEDICAL DOCTOR, PA
NPI 1306092549
Family Medicine - Geriatric Medicine in Jacksonville, NC

Active since August 07, 2008
203 STAGECOACH DR, JACKSONVILLE, NC 28546(910) 355-6696(910) 355-6696 Get Directions Write a Review

NPPES record last updated: November 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coastal Mobile Medical Doctor, Pa NPPES

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

COASTAL MOBILE MEDICAL DOCTOR, PA (NPI 1306092549) is a healthcare organization registered as a geriatric medicine in Jacksonville, North Carolina and active in the NPI registry since August 2008. The organization lists Narender Deivasekhamani Arcot, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1306092549
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameCOASTAL MOBILE MEDICAL DOCTOR, PA
Location Address203 STAGECOACH DRJacksonville, NC 28546-9617
Mailing Address203 Stagecoach DrJacksonville, NC 28546-9617 · (910) 355-6696
Phone(910) 355-6696
Fax(910) 355-6696
Organization SubpartNo
Authorized OfficialNarender Deivasekhamani ArcotPresident And Ceo · (910) 355-6696
Enumeration DateAugust 7, 2008
Last NPPES UpdateNovember 20, 2008
✔ NPI 1306092549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in NC · 200100829
Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

203 STAGECOACH DR, Jacksonville, NC 28546
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Other Identifiers 1

Medicare PIN2292281DNC

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

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 Mobile Medical Doctor, PA's NPI number?

The NPI number for Coastal Mobile Medical Doctor, PA is 1306092549. It was assigned to this organization in the NPPES registry on August 7, 2008.

Where is Coastal Mobile Medical Doctor, PA located?

Coastal Mobile Medical Doctor, PA is located at 203 Stagecoach Dr, Jacksonville, NC 28546. The listed phone number is (910) 355-6696.

What is Coastal Mobile Medical Doctor, PA's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Coastal Mobile Medical Doctor, PA was last updated on November 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.