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CAROLINA COASTAL PLASTIC SURGERY, PC
NPI 1417282401
Plastic Surgery in Elizabeth City, NC

Active since October 08, 2009
1141 N ROAD ST, SUITE K, ELIZABETH CITY, NC 27909(252) 335-2293(252) 331-2387 Get Directions Write a Review

NPPES record last updated: October 15, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carolina Coastal Plastic Surgery, Pc NPPES

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

CAROLINA COASTAL PLASTIC SURGERY, PC (NPI 1417282401) is a healthcare organization registered as a plastic surgery in Elizabeth City, North Carolina and active in the NPI registry since October 2009. The organization lists Jeffrey Pokorny, Owner, as its authorized official.

NPPES Registry Identity

NPI1417282401
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameCAROLINA COASTAL PLASTIC SURGERY, PC
Location Address1141 N ROAD ST, SUITE KElizabeth City, NC 27909-3354
Mailing Address1141 N Road St, Suite KElizabeth City, NC 27909-3354 · (252) 335-2293 · Fax (252) 331-2387
Phone(252) 335-2293
Fax(252) 331-2387
Organization SubpartNo
Authorized OfficialJeffrey PokornyOwner · (252) 335-2293
Enumeration DateOctober 8, 2009
Last NPPES UpdateOctober 15, 2009
✔ NPI 1417282401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
1141 N ROAD ST, Elizabeth City, NC 27909
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolina Coastal Plastic Surgery, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Carolina Coastal Plastic Surgery, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jeffrey Pokorny, M.D.
Plastic and Reconstructive Surgery
NPI 1275506362
1141 N ROAD ST SUITE K
Elizabeth City, NC 27909
(252) 335-2293
✔ PECOS✔ Accepts MedicareSame address
Kristen Travis
Nurse Practitioner
NPI 1265827679
6263 POPLAR AVE
Memphis, TN 38119
(865) 635-9801
✔ PECOS770 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 Carolina Coastal Plastic Surgery, PC's NPI number?

The NPI number for Carolina Coastal Plastic Surgery, PC is 1417282401. It was assigned to this organization in the NPPES registry on October 8, 2009.

Where is Carolina Coastal Plastic Surgery, PC located?

Carolina Coastal Plastic Surgery, PC is located at 1141 N Road St Suite K, Elizabeth City, NC 27909. The listed phone number is (252) 335-2293.

What is Carolina Coastal Plastic Surgery, PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Carolina Coastal Plastic Surgery, PC enrolled in Medicare?

Yes. Carolina Coastal Plastic Surgery, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carolina Coastal Plastic Surgery, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Carolina Coastal Plastic Surgery, PC, in Nurse Practitioner and Plastic and Reconstructive Surgery. 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.

When was this NPI record last updated?

The NPPES record for Carolina Coastal Plastic Surgery, PC was last updated on October 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.