BEACH MEDICAL PLLC
NPI 1659941078
Clinic/Center - Multi-Specialty in Kitty Hawk, NC

Active since June 28, 2021CLIA 34D2232102 · Waiver
5200 N CROATAN HWY STE 6, KITTY HAWK, NC 27949(252) 261-4187(833) 989-2346 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 17, 2023, Jun 28, 2021 (2 updates tracked since 2021).

About Beach Medical Pllc NPPES

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

BEACH MEDICAL PLLC (NPI 1659941078) is a healthcare organization registered as a multi-specialty in Kitty Hawk, North Carolina and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through August 9, 2027 and lists Zoe C Sherman, Manager, as its authorized official.

NPPES Registry Identity

NPI1659941078
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBEACH MEDICAL PLLC
Location Address5200 N CROATAN HWY STE 6Kitty Hawk, NC 27949-3990
Mailing AddressPo Box 2287Kitty Hawk, NC 27949-2287 · (252) 261-4187 · Fax (833) 989-2346
Fax(833) 989-2346
Organization SubpartNo
Authorized OfficialZoe C ShermanManager · (252) 207-8784
Enumeration DateJune 28, 2021
Last NPPES UpdateOctober 17, 20232 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
NPI 1659941078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
5200 N CROATAN HWY STE 6, Kitty Hawk, NC 27949

Accepted Insurance

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 34D2232102

Beach Medical, PLLC · Kitty Hawk, NC
Active · expires Aug 9, 2027
CLIA Number34D2232102
Laboratory TypePhysician Office
Certificate Effective DateAugust 10, 2025
Certificate Expiration DateAugust 9, 2027
Laboratory DirectorJames S. Wilkinson
Laboratory Phone(252) 261-4187
Laboratory LocationBeach Medical, PLLC5200 N Croatan Hwy Suites 6,7,8, Kitty Hawk, NC 27949
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659941078, enumerated as an "organization" on June 28, 2021.

The provider is located at 5200 N CROATAN HWY STE 6 KITTY HAWK, NC 27949 and the phone number is (252) 261-4187.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.