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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: October 18, 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, maintains a secondary practice location in Nags Head, 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
Phone(252) 261-4187
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
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Secondary Practice Location 1

Location 14917 S Croatan Hwy Ste 1BNags Head, NC 27959-8996 · Phone (252) 207-8784 · Fax (252) 261-5182

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beach Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20211209001284Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Beach Medical PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Carol Pilote, FNP-C
Nurse Practitioner
NPI 1982618955
5200 N CROATAN HWY SUITES 6, 7, 8
Kitty Hawk, NC 27949
(252) 261-4187
✔ PECOS✔ Accepts MedicareSame address
Eric Robisch, PA-C
Family Practice
NPI 1952888018
5200 N CROATAN HWY SUITES 6, 7, 8
Kitty Hawk, NC 27949
(252) 261-4187
✔ PECOS✔ Accepts MedicareSame address
Teresa Wargovich, M.D.
Family Practice
NPI 1225177488
5200 N CROATAN HWY BEACH MEDICAL CARE, LTD.
Kitty Hawk, NC 27949
(252) 261-4187
✔ PECOS✔ Accepts MedicareSame address
Leah Woolridge, APRN, FNP-BC
Nurse Practitioner
NPI 1275201741
5200 N CROATAN HWY STE 9
Kitty Hawk, NC 27949
(252) 581-8404
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beach Medical PLLC's NPI number?

The NPI number for Beach Medical PLLC is 1659941078. It was assigned to this organization in the NPPES registry on June 28, 2021.

Where is Beach Medical PLLC located?

Beach Medical PLLC is located at 5200 N Croatan Hwy Ste 6, Kitty Hawk, NC 27949. The listed phone number is (252) 261-4187.

What is Beach Medical PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Beach Medical PLLC enrolled in Medicare?

Yes. Beach Medical PLLC is registered in the Medicare PECOS enrollment system.

When is Beach Medical PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Beach Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Beach Medical PLLC, in Family Practice and Nurse Practitioner. 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. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Beach Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2232102) is associated with this NPI, valid through August 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Beach Medical PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Beach Medical PLLC 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 Beach Medical PLLC was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.