COASTAL WOMENS CARE PC
NPI 1558628883
Obstetrics & Gynecology - Gynecology in Wilmington, NC

Active since April 11, 2012
1721 ALLENS LN, SUITE 102, WILMINGTON, NC 28403(910) 620-1053 Get Directions Write a Review

NPPES record last updated: April 11, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Coastal Womens Care Pc NPPES

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

COASTAL WOMENS CARE PC (NPI 1558628883) is a healthcare organization registered as a gynecology in Wilmington, North Carolina and active in the NPI registry since April 2012. The organization lists Fazil A Mohamed, Physician, as its authorized official.

NPPES Registry Identity

NPI1558628883
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameCOASTAL WOMENS CARE PC
Location Address1721 ALLENS LN, SUITE 102Wilmington, NC 28403-3661
Mailing Address1721 Allens Ln, Suite 102Wilmington, NC 28403-3661 · (910) 620-1053
Organization SubpartNo
Authorized OfficialFazil A MohamedPhysician · (910) 620-1053
Enumeration DateApril 11, 2012
✔ NPI 1558628883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in NC · 201001263
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1721 ALLENS LN, Wilmington, NC 28403

Other Identifiers 4

Other21041534SC · Bcbsofsc
Medicare UPINH99955
Medicaid8906020NC
Medicaid266429SC

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coastal Womens Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Coastal Womens Care PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Obstetrics/Gynecology
NPI 1841263852
1721 ALLENS LN SUITE 102
Wilmington, NC 28403
(910) 239-5902
✔ PECOSSame address

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 Coastal Womens Care PC's NPI number?

The NPI number for Coastal Womens Care PC is 1558628883. It was assigned to this organization in the NPPES registry on April 11, 2012.

Where is Coastal Womens Care PC located?

Coastal Womens Care PC is located at 1721 Allens Ln Suite 102, Wilmington, NC 28403. The listed phone number is (910) 620-1053.

What is Coastal Womens Care PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Coastal Womens Care PC enrolled in Medicare?

Yes. Coastal Womens Care PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Womens Care PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Coastal Womens Care PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Coastal Womens Care PC accept?

Health plans from Blue Cross and Blue Shield of NC list Coastal Womens Care PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coastal Womens Care PC was last updated on April 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.