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COASTAL CAROLINA FOOT & ANKLE ASSOCIATION PA
NPI 1639336027
Podiatrist - Foot & Ankle Surgery in Wallace, NC

Active since May 22, 2008
114 N NORWOOD ST, WALLACE, NC 28466(910) 285-3362(910) 285-6683 Get Directions Write a Review

NPPES record last updated: September 17, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coastal Carolina Foot & Ankle Association Pa NPPES

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

COASTAL CAROLINA FOOT & ANKLE ASSOCIATION PA (NPI 1639336027) is a healthcare organization registered as a foot & ankle surgery in Wallace, North Carolina and active in the NPI registry since May 2008. The organization lists Kathy N Walker, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1639336027
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameCOASTAL CAROLINA FOOT & ANKLE ASSOCIATION PA
Location Address114 N NORWOOD STWallace, NC 28466-2730
Mailing Address114 N Norwood StWallace, NC 28466-2730 · (910) 285-3362 · Fax (910) 285-6683
Phone(910) 285-3362
Fax(910) 285-6683
Organization SubpartNo
Authorized OfficialKathy N WalkerPractice Administrator · (910) 343-8889
Enumeration DateMay 22, 2008
Last NPPES UpdateSeptember 17, 2013
✔ NPI 1639336027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NC · 230
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License 449 (NC)
114 N NORWOOD ST, Wallace, NC 28466
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Other Identifiers 6

Medicare NSC6494750002NC
Other2347992NC · Medicare Ptan
Medicaid890152PNC
OtherDR7169NC · Railroad Medicare Ptan
Other0152PNC · Bcbs Nc
OtherB1114NC · Medcost

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES

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

JEFFREY B PUPP
Podiatrist (Foot & Ankle Surgery)
114 N NORWOOD ST
WALLACE, NC 28466
Duplin County (910) 285-3362

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 Foot & Ankle Association PA's NPI number?

The NPI number for Coastal Carolina Foot & Ankle Association PA is 1639336027. It was assigned to this organization in the NPPES registry on May 22, 2008.

Where is Coastal Carolina Foot & Ankle Association PA located?

Coastal Carolina Foot & Ankle Association PA is located at 114 N Norwood St, Wallace, NC 28466. The listed phone number is (910) 285-3362.

What is Coastal Carolina Foot & Ankle Association PA's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

What insurance does Coastal Carolina Foot & Ankle Association PA accept?

Health plans from Blue Cross and Blue Shield of NC list Coastal Carolina Foot & Ankle Association PA 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 Carolina Foot & Ankle Association PA was last updated on September 17, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.