COASTAL CAROLINA FAMILY PRACTICE PA
NPI 1326031485
Family Medicine in Hertford, NC
About Coastal Carolina Family Practice Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTAL CAROLINA FAMILY PRACTICE PA (NPI 1326031485) is a healthcare organization registered as a family medicine in Hertford, North Carolina and active in the NPI registry since August 2005. The organization holds an CLIA Accreditation certificate valid through March 22, 2028 and lists Devin B Gregory, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted 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 Family Practice Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Coastal Carolina Family Practice PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Accreditation 34D0938057
Coastal Carolina Family Practice, PA · Hertford, NCFrequently 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 Family Practice PA's NPI number?
The NPI number for Coastal Carolina Family Practice PA is 1326031485. It was assigned to this organization in the NPPES registry on August 24, 2005.
Where is Coastal Carolina Family Practice PA located?
Coastal Carolina Family Practice PA is located at 600 S Church St, Hertford, NC 27944. The listed phone number is (252) 426-5711.
What is Coastal Carolina Family Practice PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Coastal Carolina Family Practice PA enrolled in Medicare?
Yes. Coastal Carolina Family Practice PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coastal Carolina Family Practice PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Coastal Carolina Family Practice PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Coastal Carolina Family Practice PA hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 34D0938057) is associated with this NPI, valid through March 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Coastal Carolina Family Practice PA accept?
Health plans from Blue Cross and Blue Shield of NC list Coastal Carolina Family Practice PA 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 Carolina Family Practice PA was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.
# Coastal Carolina Family Practice Pa · NPI 1326031485
Family Medicine organization in Hertford, North Carolina. Organization record, active in the CMS NPPES registry since August 24, 2005.
## Identity
- **NPI:** 1326031485 (Entity type: Organization)
- **Enumerated:** August 24, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Devin Gregory, COO
## Practice location
- **Address:** 600 S CHURCH ST, Hertford, NC 27944-1205
- **Phone:** (252) 426-5711 · **Fax:** (252) 426-1999
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 12, 2026
- **Other identifiers:** Other 044647; Other 0222L (NC); Medicaid 890222L (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1326031485) · Data from the CMS NPPES public registry.