1. Home
  2. Directory
  3. North Carolina
  4. Hampstead
  5. Family Medicine
  6. NPI Profile

COASTAL CAROLINA CARE PLLC
NPI 1760027874
Family Medicine in Hampstead, NC

Active since November 12, 2019
15441 US HIGHWAY 17 N STE 501, HAMPSTEAD, NC 28443(910) 512-2520(910) 900-8002 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 13, 2020, Nov 12, 2019 (2 updates tracked since 2019).

About Coastal Carolina Care Pllc NPPES

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

COASTAL CAROLINA CARE PLLC (NPI 1760027874) is a healthcare organization registered as a family medicine in Hampstead, North Carolina and active in the NPI registry since November 2019. The organization lists Michael Thomas, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1760027874
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOASTAL CAROLINA CARE PLLC
Location Address15441 US HIGHWAY 17 N STE 501Hampstead, NC 28443-0016
Mailing Address831 Wine Cellar CirWilmington, NC 28411-9298 · (910) 512-2520
Phone(910) 512-2520
Fax(910) 900-8002
Organization SubpartNo
Authorized OfficialMichael ThomasChief Operating Officer · (910) 685-7307
Enumeration DateNovember 12, 2019
Last NPPES UpdateJanuary 23, 20242 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
✔ NPI 1760027874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
15441 US HIGHWAY 17 N STE 501, Hampstead, NC 28443
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.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)

Coastal Carolina Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Coastal Carolina Care PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Andrea Maggard, FNP
Nurse Practitioner
NPI 1790818250
15441 US HIGHWAY 17 STE 501
Hampstead, NC 28443
(910) 685-7307
✔ PECOS✔ Accepts MedicareSame address
Raishael Tessari, FNP
Nurse Practitioner
NPI 1902435944
5725 CAROLINA BEACH RD
Wilmington, NC 28412
(800) 226-8874
✔ PECOS✔ Accepts Medicare20 mi
Bradford Faulkenberry, M.D.
Family Practice
NPI 1518915370
1707 BERWICK DR
Laurinburg, NC 28352
(910) 276-2439
✔ PECOS104 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 Coastal Carolina Care PLLC's NPI number?

The NPI number for Coastal Carolina Care PLLC is 1760027874. It was assigned to this organization in the NPPES registry on November 12, 2019.

Where is Coastal Carolina Care PLLC located?

Coastal Carolina Care PLLC is located at 15441 Us Highway 17 N Ste 501, Hampstead, NC 28443. The listed phone number is (910) 512-2520.

What is Coastal Carolina Care PLLC's specialty?

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

Is Coastal Carolina Care PLLC enrolled in Medicare?

Yes. Coastal Carolina Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Carolina Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Coastal Carolina Care 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Coastal Carolina Care PLLC accept?

Health plans from AmeriHealth Caritas Next list Coastal Carolina Care 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 Coastal Carolina Care PLLC was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.