CCHC HEART AND VASCULAR SPECIALISTS
NPI 1477992501
Internal Medicine - Cardiovascular Disease in New Bern, NC

Active since June 21, 2013CLIA 34D2064672 · Waiver
1000 MEDICAL PARK AVE, NEW BERN, NC 28562(252) 634-3278 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2024, Aug 31, 2023, Feb 22, 2023 (3 updates tracked since 2023).

About Cchc Heart And Vascular Specialists NPPES

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

CCHC HEART AND VASCULAR SPECIALISTS (NPI 1477992501) is a healthcare organization registered as a cardiovascular disease in New Bern, North Carolina and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through August 22, 2027, maintains a secondary practice location in New Bern, and lists Stephen W Nuckolls, Ceo, as its authorized official.

NPPES Registry Identity

NPI1477992501
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameCOASTAL CAROLINA HEALTH CARE PA
Location Address1000 MEDICAL PARK AVENew Bern, NC 28562
Mailing AddressPo Box 12248New Bern, NC 28561-2248 · (252) 514-6685 · Fax (252) 514-2745
Organization SubpartNo
Authorized OfficialStephen W NuckollsCeo · (252) 514-6685
Enumeration DateJune 21, 2013
Last NPPES UpdateFebruary 6, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
NPI 1477992501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1000 MEDICAL PARK AVE, New Bern, NC 28562

Other Names 1

Doing Business AsCchc Heart And Vascular Specialists

Secondary Practice Location 1

Location 1941 Newman RdNew Bern, NC 28562-5252 · Phone (252) 514-6685 · Fax (252) 514-2745

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Waiver 34D2064672

Cchc Heart And Vascular Specialists · New Bern, NC
Active · expires Aug 22, 2027
CLIA Number34D2064672
Laboratory TypePhysician Office
Certificate Effective DateAugust 23, 2025
Certificate Expiration DateAugust 22, 2027
Laboratory DirectorMatthew M. Grove
Laboratory Phone(252) 634-3278
Laboratory LocationCchc Heart And Vascular Specialists1000 Medical Park Ave, New Bern, NC 28562
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Nurse Practitioner (Family)
1000 MEDICAL PARK AVE
NEW BERN, NC 28562
Physician Assistant
1000 MEDICAL PARK AVE
NEW BERN, NC 28562
Physical Therapist
1000 MEDICAL PARK AVE
NEW BERN, NC 28562

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 Health Care PA's NPI number?

The NPI number for Coastal Carolina Health Care PA is 1477992501. It was assigned to this organization in the NPPES registry on June 21, 2013. The provider is doing business as Cchc Heart And Vascular Specialists.

Where is Coastal Carolina Health Care PA located?

Coastal Carolina Health Care PA is located at 1000 Medical Park Ave, New Bern, NC 28562. The listed phone number is (252) 634-3278.

What is Coastal Carolina Health Care PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Coastal Carolina Health Care PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2064672) is associated with this NPI, valid through August 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coastal Carolina Health Care PA was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.