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COASTAL PEDIATRIC ASSOCIATES, PLLC
NPI 1447638341
Specialist in Wilmington, NC

Active since May 12, 2015
3505 CONVERSE DR, SUITE 200, WILMINGTON, NC 28403(910) 392-5634(910) 777-2022 Get Directions Write a Review

NPPES record last updated: May 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coastal Pediatric Associates, Pllc NPPES

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

COASTAL PEDIATRIC ASSOCIATES, PLLC (NPI 1447638341) is a healthcare organization registered as a specialist in Wilmington, North Carolina and active in the NPI registry since May 2015. The organization lists Thomas Blackstone, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1447638341
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCOASTAL PEDIATRIC ASSOCIATES, PLLC
Location Address3505 CONVERSE DR, SUITE 200Wilmington, NC 28403-6131
Mailing Address3505 Converse Dr, Suite 200Wilmington, NC 28403-6131 · (910) 392-5634 · Fax (910) 777-2022
Phone(910) 392-5634
Fax(910) 777-2022
Organization SubpartNo
Authorized OfficialThomas BlackstoneManaging Member · (910) 202-8020
Enumeration DateMay 12, 2015
✔ NPI 1447638341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · 17469
Definition
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.
3505 CONVERSE DR, Wilmington, NC 28403
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIMOCK WEINBERG & CHERRY DDS PLLC
Dentist (Pediatric Dentistry)
3505 CONVERSE DR, SUITE 175
WILMINGTON, NC 28403
New Hanover County (910) 794-2266
DR. WHITNEY NUGENT KING MD
Pediatrics
3505 CONVERSE DR, SUITE 200
WILMINGTON, NC 28403
New Hanover County (910) 392-5634
MRS. SHANNON DEE KEELY RN IBCLC RLC
Registered Nurse (Lactation Consultant)
3505 CONVERSE DR, SUITE 200
WILMINGTON, NC 28403
New Hanover County (910) 392-5634
ASHLEY JILL KOEHLER OTR/L
Occupational Therapist
3505 CONVERSE DR
WILMINGTON, NC 28403
New Hanover County (910) 295-2609
RALEIGH DURHAM MEDICAL GROUP, PA
Pediatrics
3505 CONVERSE DR, STE 200
WILMINGTON, NC 28403
New Hanover County (910) 392-5634
THOMAS L BLACKSTONE MD
Pediatrics
3505 CONVERSE DR, STE 200
WILMINGTON, NC 28403
New Hanover County (910) 392-5634

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 Pediatric Associates, PLLC's NPI number?

The NPI number for Coastal Pediatric Associates, PLLC is 1447638341. It was assigned to this organization in the NPPES registry on May 12, 2015.

Where is Coastal Pediatric Associates, PLLC located?

Coastal Pediatric Associates, PLLC is located at 3505 Converse Dr Suite 200, Wilmington, NC 28403. The listed phone number is (910) 392-5634.

What is Coastal Pediatric Associates, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Coastal Pediatric Associates, PLLC was last updated on May 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.