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COASTAL CAROLINA FAMILY PRACTICE PA
NPI 1326031485
Family Medicine in Hertford, NC

Active since August 24, 2005CLIA 34D0938057 · Accreditation
600 S CHURCH ST, HERTFORD, NC 27944(252) 426-5711(252) 426-1999 Get Directions Write a Review

NPPES record last updated: July 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 Chris A Lane, Medical Adm, as its authorized official.

NPPES Registry Identity

NPI1326031485
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOASTAL CAROLINA FAMILY PRACTICE PA
Location Address600 S CHURCH STHertford, NC 27944-1205
Mailing AddressPo Box 650Hertford, NC 27944-0650 · (252) 426-5711 · Fax (252) 426-1999
Phone(252) 426-5711
Fax(252) 426-1999
Organization SubpartNo
Authorized OfficialChris A LaneMedical Adm · (252) 426-5711
Enumeration DateAugust 24, 2005
Last NPPES UpdateJuly 9, 2010
✔ NPI 1326031485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 40834
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
600 S CHURCH ST, Hertford, NC 27944
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Other Identifiers 4

Other0222LNC · Bcbs
Medicare PIN2322485NC
Other044647Trigon
Medicaid890222LNC

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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 Accreditation 34D0938057

Coastal Carolina Family Practice, PA · Hertford, NC
Active · expires Mar 22, 2028
CLIA Number34D0938057
Laboratory TypePhysician Office
Certificate Effective DateMarch 23, 2026
Certificate Expiration DateMarch 22, 2028
Laboratory DirectorRobert Lane
Laboratory Phone(252) 426-5711
Laboratory LocationCoastal Carolina Family Practice, PA600 S Church Street, Hertford, NC 27944
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

ROBERT EARL LANE MD
Family Medicine
600 S CHURCH ST
HERTFORD, NC 27944
Perquimans County (252) 426-5711
BETH NEEL PA-C
Physician Assistant (Medical)
600 S CHURCH ST
HERTFORD, NC 27944
Perquimans County (252) 426-5711
TESSA JEANNE RAYNE PA-C
Physician Assistant
600 S CHURCH ST
HERTFORD, NC 27944
Perquimans County (252) 426-5711

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 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.

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 July 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.