COASTAL SOUTHEASTERN UNITED CARE LLC
NPI 1346477403
Community/Behavioral Health in Supply, NC

Active since June 16, 2009
10 DOCTORS CIRCLE, SUITE 6, SUPPLY, NC 28462(910) 755-5222(910) 755-5255 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 2, 2025, Aug 16, 2024, Sep 5, 2023 and 3 more (6 updates tracked since 2018).

About Coastal Southeastern United Care Llc NPPES

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

COASTAL SOUTHEASTERN UNITED CARE LLC (NPI 1346477403), doing business as Coastal Southeastern United Care, is a healthcare organization registered as a community/behavioral health in Supply, North Carolina and active in the NPI registry since June 2009. The organization maintains 5 additional practice locations and lists Shannon Ashley Atkinson, Vp, Home And Community Services, as its authorized official.

NPPES Registry Identity

NPI1346477403
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOASTAL SOUTHEASTERN UNITED CARE LLC
Location Address10 DOCTORS CIRCLE, SUITE 6Supply, NC 28462
Mailing Address305 Commerce Ave, Suite 102Morehead City, NC 28557 · (252) 773-0195 · Fax (252) 773-0214
Fax(910) 755-5255
Organization SubpartNo
Authorized OfficialShannon Ashley AtkinsonVp, Home And Community Services · (843) 806-2695
Enumeration DateJune 16, 2009
Last NPPES UpdateSeptember 2, 20256 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2024
✔ NPI 1346477403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
10 DOCTORS CIRCLE, Supply, NC 28462

Other Names 1

Doing Business AsCoastal Southeastern United Care

Secondary Practice Locations 5

Location 1100A Memory PlzWhiteville, NC 28472-2640 · Phone (910) 640-2230 · Fax (910) 640-1625
Location 2305 Commerce Ave Ste 102Morehead City, NC 28557-2971 · Phone (252) 772-0195
Location 3401 W 27th StLumberton, NC 28358-3019 · Phone (910) 370-0434
Location 41201 S 16th St Ste BWilmington, NC 28401-6419 · Phone (910) 769-4971 · Fax (910) 769-6015
Location 52550 Court Dr Ste 103Gastonia, NC 28054-2152 · Phone (704) 215-5822 · Fax (704) 215-5824

Other Identifiers 5

Medicaid8302940NC
OtherB913NC · Medicare
Medicaid8302940BNC
Medicaid8302940HNC
Medicaid8302940GNC

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 Southeastern United Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Coastal Southeastern United Care LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner9
Clinical Social Worker2
Psychiatry2
Mental Health Counselor1

Clinicians, nearest first (14)

Nurse Practitioner
NPI 1356598619
610 OCEAN HWY W
Supply, NC 28462
(910) 253-5885
✔ PECOS✔ Accepts Medicare0.2 mi
Psychiatry
NPI 1619027471
4647 MAIN ST STE. 5
Shallotte, NC 28470
(910) 755-6606
✔ PECOS✔ Accepts Medicare5.6 mi
Nurse Practitioner
NPI 1003374208
3640 EXPRESS DR
Shallotte, NC 28470
(910) 755-5222
✔ PECOS✔ Accepts Medicare6.1 mi
Mental Health Counselor
NPI 1477767416
3640 EXPRESS DR
Shallotte, NC 28470
(910) 755-5222
✔ PECOS✔ Accepts Medicare6.1 mi
Nurse Practitioner
NPI 1336697754
1072 HARBOR DR
Calabash, NC 28467
(919) 810-0344
✔ PECOS✔ Accepts Medicare17 mi
Clinical Social Worker
NPI 1235569500
615 SHIPYARD BLVD
Wilmington, NC 28412
(910) 343-0145
✔ PECOS24 mi
Nurse Practitioner
NPI 1912043050
302 W DAFFY LN
Hampstead, NC 28443
(910) 526-3288
✔ PECOS✔ Accepts Medicare49 mi
Nurse Practitioner
NPI 1629456330
2550 FAYETTEVILLE RD
Lumberton, NC 28358
(910) 536-1689
✔ PECOS✔ Accepts Medicare59 mi
Nurse Practitioner
NPI 1578934576
4850 FAYETTEVILLE RD STE C
Lumberton, NC 28358
(910) 370-0067
✔ PECOS✔ Accepts Medicare61 mi
Nurse Practitioner
NPI 1215688700
4412 PARK RD
Charlotte, NC 28209
(980) 581-3061
✔ PECOS166 mi
Nurse Practitioner
NPI 1972068757
3151 DALLAS HIGH SHOALS HWY UNIT 935
Dallas, NC 28034
(803) 470-5358
✔ PECOS✔ Accepts Medicare188 mi
Psychiatry
NPI 1831372721
751 S LAUREL ST
Lincolnton, NC 28092
(980) 284-2005
✔ PECOS✔ Accepts Medicare196 mi
Clinical Social Worker
NPI 1811558596
847 W LAKE DR
Mount Airy, NC 27030
(336) 783-6919
✔ PECOS211 mi
Nurse Practitioner
NPI 1003859158
100 W COMMONS BLVD
New Castle, DE 19720
(302) 224-1400
✔ PECOS419 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Southeastern United Care LLC's NPI number?

The NPI number for Coastal Southeastern United Care LLC is 1346477403. It was assigned to this organization in the NPPES registry on June 16, 2009. The provider is doing business as Coastal Southeastern United Care.

Where is Coastal Southeastern United Care LLC located?

Coastal Southeastern United Care LLC is located at 10 Doctors Circle Suite 6, Supply, NC 28462. The listed phone number is (910) 755-5222.

What is Coastal Southeastern United Care LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Coastal Southeastern United Care LLC enrolled in Medicare?

Yes. Coastal Southeastern United Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Southeastern United Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 4 Medicare specialties reassign their Medicare billing to Coastal Southeastern United Care LLC. 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. The largest specialties are Nurse Practitioner (9), Clinical Social Worker (2) and Psychiatry (2). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Coastal Southeastern United Care LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.