COASTAL ARTHRITIS AND RHEUMATISM ASSOCIATES PA
NPI 1609818384
Internal Medicine - Rheumatology in Jacksonville, NC

Active since June 10, 2006
1126B KELLUM LOOP RD, JACKSONVILLE, NC 28546(910) 577-0177(910) 577-0183 Get Directions Write a Review

NPPES record last updated: January 20, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Coastal Arthritis And Rheumatism Associates Pa NPPES

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

COASTAL ARTHRITIS AND RHEUMATISM ASSOCIATES PA (NPI 1609818384) is a healthcare organization registered as a rheumatology in Jacksonville, North Carolina and active in the NPI registry since June 2006. The organization lists David Donald Fraser, President, as its authorized official.

NPPES Registry Identity

NPI1609818384
Entity TypeOrganization
Primary Taxonomy207RR0500X
Legal Business NameCOASTAL ARTHRITIS AND RHEUMATISM ASSOCIATES PA
Location Address1126B KELLUM LOOP RDJacksonville, NC 28546-3304
Mailing Address1126b Kellum Loop RdJacksonville, NC 28546-3304 · (910) 577-0177 · Fax (910) 577-0183
Fax(910) 577-0183
Organization SubpartNo
Authorized OfficialDavid Donald FraserPresident · (910) 577-0177
Enumeration DateJune 10, 2006
Last NPPES UpdateJanuary 20, 2011
✔ NPI 1609818384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NC · 31985
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1126B KELLUM LOOP RD, Jacksonville, NC 28546

Other Identifiers 3

Medicare UPINE67827NC
Medicaid8933694NC
Medicare ID-Type Unspecified2344343ANC

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)

Coastal Arthritis And Rheumatism Associates Pa 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 Arthritis And Rheumatism Associates PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rheumatology
NPI 1992794614
1126B KELLUM LOOP RD
Jacksonville, NC 28546
(910) 577-0177
✔ 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 Arthritis And Rheumatism Associates PA's NPI number?

The NPI number for Coastal Arthritis And Rheumatism Associates PA is 1609818384. It was assigned to this organization in the NPPES registry on June 10, 2006.

Where is Coastal Arthritis And Rheumatism Associates PA located?

Coastal Arthritis And Rheumatism Associates PA is located at 1126B Kellum Loop Rd, Jacksonville, NC 28546. The listed phone number is (910) 577-0177.

What is Coastal Arthritis And Rheumatism Associates PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Coastal Arthritis And Rheumatism Associates PA enrolled in Medicare?

Yes. Coastal Arthritis And Rheumatism Associates PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Arthritis And Rheumatism Associates PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Rheumatology) reassigns their Medicare billing to Coastal Arthritis And Rheumatism Associates PA. 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.

When was this NPI record last updated?

The NPPES record for Coastal Arthritis And Rheumatism Associates PA was last updated on January 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.