1. Home
  2. Directory
  3. North Carolina
  4. Supply
  5. Internal Medicine
  6. NPI Profile

COASTAL GASTROENTEROLOGY PLLC
NPI 1720014012
Internal Medicine - Gastroenterology in Supply, NC

Active since June 25, 2006
3 MEDICAL CENTER DRIVE, SUPPLY, NC 28462(910) 754-7790(910) 754-7838 Get Directions Write a Review

NPPES record last updated: August 28, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastal Gastroenterology Pllc NPPES

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

COASTAL GASTROENTEROLOGY PLLC (NPI 1720014012) is a healthcare organization registered as a gastroenterology in Supply, North Carolina and active in the NPI registry since June 2006. The organization lists Frank Loving Holt, Md, as its authorized official.

NPPES Registry Identity

NPI1720014012
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameCOASTAL GASTROENTEROLOGY PLLC
Location Address3 MEDICAL CENTER DRIVESupply, NC 28462
Mailing Address3 Medical Center DriveSupply, NC 28462 · (910) 754-7790 · Fax (910) 754-7838
Phone(910) 754-7790
Fax(910) 754-7838
Organization SubpartNo
Authorized OfficialFrank Loving HoltMd · (910) 754-7790
Enumeration DateJune 25, 2006
Last NPPES UpdateAugust 28, 2007
✔ NPI 1720014012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
3 MEDICAL CENTER DRIVE, Supply, NC 28462
Open in Google Maps ↗

Other Identifiers 4

Other1235GNC · Blue Shield
Medicare UPINB08266
Medicaid891235GNC
Medicare PIN2279763VA

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 Coastal Gastroenterology PLLC's NPI number?

The NPI number for Coastal Gastroenterology PLLC is 1720014012. It was assigned to this organization in the NPPES registry on June 25, 2006.

Where is Coastal Gastroenterology PLLC located?

Coastal Gastroenterology PLLC is located at 3 Medical Center Drive, Supply, NC 28462. The listed phone number is (910) 754-7790.

What is Coastal Gastroenterology PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Coastal Gastroenterology PLLC was last updated on August 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.