COASTAL CAROLINA NEUROLOGY, P.A.
NPI 1417281965
Specialist in New Bern, NC

NPI Status: Active since September 30, 2009

Contact Information

2402 MARTIN LUTHER KING JR BLVD
NEW BERN, NC
ZIP 28562
Phone: (252) 634-2900
Fax: (252) 634-2920

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  • Organization
  • Specialist
  • CLIA Number: 34D1078732
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 09-03-2027

About COASTAL CAROLINA NEUROLOGY, P.A.

This page provides the complete NPI Profile along with additional information for Coastal Carolina Neurology, P.a., a provider established in New Bern, North Carolina operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1417281965 assigned on September 2009. The practitioner's primary taxonomy code is 174400000X with license number 10389 (NC). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Claudia Yalden (Billing)

NPI
1417281965
Provider Name
COASTAL CAROLINA NEUROLOGY, P.A.
Entity Type
Organization
Location Address
2402 MARTIN LUTHER KING JR BLVD NEW BERN, NC 28562
Location Phone
(252) 634-2900
Location Fax
(252) 634-2920
Mailing Address
2402 MARTIN LUTHER KING BLVD NEW BERN, NC 28562
Mailing Phone
(252) 634-2900
Mailing Fax
(252) 634-2920
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-30-2009
Last Update Date
11-03-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
10389
License State
NC
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CLAUDIA YALDEN

Authorized Official Title
BILLING
Authorized Official Phone
(252) 634-2900

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D1078732
Facility Type
Independent
Certificate Effective Date
September 04, 2025
Certificate Expiration Date
September 03, 2027
Laboratory Director
DR. MARTIN C. DEGRAW
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Coastal Carolina Neurology, P.a. on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1417281965, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 2 → 4 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 2 + 7 + 4 + 8 + 2 + 9 + 1 + 2 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1417281965.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417281965, enumerated as an "organization" on September 30, 2009.

The provider is located at 2402 MARTIN LUTHER KING JR BLVD NEW BERN, NC 28562 and the phone number is (252) 634-2900.

Specialist with taxonomy code 174400000X.