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CAROLINA COAST PRIMARY MEDICINE
NPI 1669401964
Family Medicine in Kenansville, NC

Active since July 01, 2006
275 N NC 24 & 50 HWY, KENANSVILLE, NC 28349(910) 296-1087(910) 296-1086 Get Directions Write a Review

NPPES record last updated: November 1, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carolina Coast Primary Medicine NPPES

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

CAROLINA COAST PRIMARY MEDICINE (NPI 1669401964) is a healthcare organization registered as a family medicine in Kenansville, North Carolina and active in the NPI registry since July 2006. The organization lists Bertha1 Taylor- Miller, Manager, as its authorized official.

NPPES Registry Identity

NPI1669401964
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCAROLINA COAST PRIMARY MEDICINE
Location Address275 N NC 24 & 50 HWYKenansville, NC 28349-0148
Mailing AddressPo Box 148Kenansville, NC 28349-0148 · (910) 296-1087 · Fax (910) 296-1086
Phone(910) 296-1087
Fax(910) 296-1086
Organization SubpartNo
Authorized OfficialBertha1 Taylor- MillerManager · (910) 296-1087
Enumeration DateJuly 1, 2006
Last NPPES UpdateNovember 1, 2012
✔ NPI 1669401964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

275 N NC 24 & 50 HWY, Kenansville, NC 28349
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Other Identifiers 3

Other11515NC · Bcbs
Medicare ID-Type Unspecified2347079NC
Medicaid5900323NC

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

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 Carolina Coast Primary Medicine's NPI number?

The NPI number for Carolina Coast Primary Medicine is 1669401964. It was assigned to this organization in the NPPES registry on July 1, 2006.

Where is Carolina Coast Primary Medicine located?

Carolina Coast Primary Medicine is located at 275 N Nc 24 & 50 Hwy, Kenansville, NC 28349. The listed phone number is (910) 296-1087.

What is Carolina Coast Primary Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Carolina Coast Primary Medicine was last updated on November 1, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.