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SANDY SHORES PRIMARY CARE, PLLC
NPI 1508511767
Clinic/Center - Primary Care in Surf City, NC

Active since February 16, 2022
13741 NC HIGHWAY 50 STE A, SURF CITY, NC 28445(910) 777-2732(910) 777-2742 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandy Shores Primary Care, Pllc NPPES

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

SANDY SHORES PRIMARY CARE, PLLC (NPI 1508511767) is a healthcare organization registered as a primary care in Surf City, North Carolina and active in the NPI registry since February 2022. The organization lists Rebecca L Cooper, Owner, as its authorized official.

NPPES Registry Identity

NPI1508511767
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSANDY SHORES PRIMARY CARE, PLLC
Location Address13741 NC HIGHWAY 50 STE ASurf City, NC 28445-6935
Mailing Address13741 Nc Highway 50 Ste ASurf City, NC 28445-6935 · (910) 777-2782
Phone(910) 777-2732
Fax(910) 777-2742
Organization SubpartYesParent: Sandy Shores Medical Center And Urgent Care
Authorized OfficialRebecca L CooperOwner · (910) 789-9883
Enumeration DateFebruary 16, 2022
NPPES CertifiedFebruary 16, 2022
✔ NPI 1508511767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
13741 NC HIGHWAY 50 STE A, Surf City, NC 28445
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Other Identifiers 1

Medicaid1104159540NC

Other Providers at the Same Location NPPES 2

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

MRS. REBECCA LYNN COOPER PA-C
Physician Assistant (Medical)
13741 NC HIGHWAY 50 STE A
SURF CITY, NC 28445
Onslow County (910) 777-2732
SANDY SHORES MEDICAL CENTER AND URGENT CARE
Clinic/Center (Urgent Care)
13741 NC HIGHWAY 50 STE A
SURF CITY, NC 28445
Onslow County (910) 777-2732

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 Sandy Shores Primary Care, PLLC's NPI number?

The NPI number for Sandy Shores Primary Care, PLLC is 1508511767. It was assigned to this organization in the NPPES registry on February 16, 2022.

Where is Sandy Shores Primary Care, PLLC located?

Sandy Shores Primary Care, PLLC is located at 13741 Nc Highway 50 Ste A, Surf City, NC 28445. The listed phone number is (910) 777-2732.

What is Sandy Shores Primary Care, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Sandy Shores Primary Care, PLLC was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.