CRYSTAL COAST WELLNESS AND PERFORMANCE CENTER
NPI 1679104293
Dietitian, Registered in Morehead City, NC

Active since February 01, 2020
4913 BRIDGES ST EXT STE 102, MOREHEAD CITY, NC 28557(252) 808-5623 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 20, 2025, Feb 1, 2020 (2 updates tracked since 2020).

About Crystal Coast Wellness And Performance Center NPPES

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

CRYSTAL COAST WELLNESS AND PERFORMANCE CENTER (NPI 1679104293) is a healthcare organization registered as a dietitian, registered in Morehead City, North Carolina and active in the NPI registry since February 2020. The organization lists Jayme Limbaugh, President, as its authorized official.

NPPES Registry Identity

NPI1679104293
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameCRYSTAL COAST WELLNESS AND PERFORMANCE CENTER
Location Address4913 BRIDGES ST EXT STE 102Morehead City, NC 28557-8978
Mailing Address4913 Bridges St Ext Ste 102Morehead City, NC 28557-8978 · (252) 808-5623
Organization SubpartNo
Authorized OfficialJayme LimbaughPresident · (252) 808-5623
Enumeration DateFebruary 1, 2020
Last NPPES UpdateMarch 20, 20252 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1679104293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
4913 BRIDGES ST EXT STE 102, Morehead City, NC 28557

Other Identifiers 1

Medicaid1699336156NC

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal Coast Wellness And Performance Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Crystal Coast Wellness And Performance Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Registered Dietitian or Nutrition Professional
NPI 1780566877
4913 BRIDGES ST EXT # B
Morehead City, NC 28557
(252) 808-5623
✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1699336156
4913 BRIDGES ST EXT STE 102
Morehead City, NC 28557
(252) 808-5623
✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1821877853
4913 BRIDGES ST EXT # B
Morehead City, NC 28557
(252) 808-5623
✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1104606656
4913 BRIDGES ST EXT BLDG B
Morehead City, NC 28557
(252) 808-5623
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1568189397
607 WAGON RD
Morehead City, NC 28557
(443) 789-8530
✔ Accepts Medicare2.5 mi
Registered Dietitian or Nutrition Professional
NPI 1386227502
7650 EAST PARHAM ROAD SUITE 100
Richmond, VA 23294
(804) 288-3136
✔ Accepts Medicare204 mi

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 Crystal Coast Wellness And Performance Center's NPI number?

The NPI number for Crystal Coast Wellness And Performance Center is 1679104293. It was assigned to this organization in the NPPES registry on February 1, 2020.

Where is Crystal Coast Wellness And Performance Center located?

Crystal Coast Wellness And Performance Center is located at 4913 Bridges St Ext Ste 102, Morehead City, NC 28557. The listed phone number is (252) 808-5623.

What is Crystal Coast Wellness And Performance Center's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Crystal Coast Wellness And Performance Center enrolled in Medicare?

Yes. Crystal Coast Wellness And Performance Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crystal Coast Wellness And Performance Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Crystal Coast Wellness And Performance Center. 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. The largest specialties are Registered Dietitian or Nutrition Professional (5) and Occupational Therapist in Private Practice (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Crystal Coast Wellness And Performance Center accept?

Health plans from Blue Cross and Blue Shield of NC list Crystal Coast Wellness And Performance Center 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 Crystal Coast Wellness And Performance Center was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.