COASTAL MEDICAL AND WELLNESS
NPI 1740057017
Clinic/Center - Urgent Care in Hubert, NC

Active since December 07, 2023CLIA 34D2296690 · Waiver
1537 FREEDOM WAY STE 2, HUBERT, NC 28539(910) 238-4268(910) 238-4397 Get Directions Write a Review

NPPES record last updated: September 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 22, 2024, Dec 7, 2023 (2 updates tracked since 2023).

About Coastal Medical And Wellness NPPES

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

COASTAL MEDICAL AND WELLNESS (NPI 1740057017) is a healthcare organization registered as an urgent care in Hubert, North Carolina and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through January 3, 2028 and lists Veronika Surber, Owner, as its authorized official.

NPPES Registry Identity

NPI1740057017
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameCOASTAL MEDICAL AND WELLNESS PLLC
Location Address1537 FREEDOM WAY STE 2Hubert, NC 28539-3647
Mailing Address1537 Freedom Way Ste 2Hubert, NC 28539-3647 · (910) 238-4268 · Fax (910) 238-4397
Fax(910) 238-4397
Organization SubpartNo
Authorized OfficialVeronika SurberOwner · (252) 647-1616
Enumeration DateDecember 7, 2023
Last NPPES UpdateSeptember 22, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2024
NPI 1740057017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
1537 FREEDOM WAY STE 2, Hubert, NC 28539

Other Names 1

Doing Business AsCoastal Medical And Wellness

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 34D2296690

Coastal Medical And Wellness PLLC · Hubert, NC
Active · expires Jan 3, 2028
CLIA Number34D2296690
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 4, 2026
Certificate Expiration DateJanuary 3, 2028
Laboratory DirectorMaria Cresp
Laboratory Phone(843) 263-1822
Laboratory LocationCoastal Medical And Wellness PLLC1537 Freedom Way Ste 2, Hubert, NC 28539
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1537 FREEDOM WAY STE 2
HUBERT, NC 28539
Physician Assistant
1537 FREEDOM WAY STE 2
HUBERT, NC 28539

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740057017, enumerated as an "organization" on December 07, 2023.

The provider is located at 1537 FREEDOM WAY STE 2 HUBERT, NC 28539 and the phone number is (910) 238-4268.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.