COASTAL HEADACHE CLINIC PLLC
NPI 1760139323
Nurse Practitioner in Jacksonville, NC
About Coastal Headache Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTAL HEADACHE CLINIC PLLC (NPI 1760139323) is a healthcare organization registered as a nurse practitioner in Jacksonville, North Carolina and active in the NPI registry since March 2022. The organization lists Terra Kamp, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 2
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 Headache Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Coastal Headache Clinic PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Headache Clinic PLLC's NPI number?
The NPI number for Coastal Headache Clinic PLLC is 1760139323. It was assigned to this organization in the NPPES registry on March 3, 2022.
Where is Coastal Headache Clinic PLLC located?
Coastal Headache Clinic PLLC is located at 1715 Country Club Rd Ste B, Jacksonville, NC 28546. The listed phone number is (910) 238-2050.
What is Coastal Headache Clinic PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Coastal Headache Clinic PLLC enrolled in Medicare?
Yes. Coastal Headache Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coastal Headache Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Coastal Headache Clinic PLLC. 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, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Coastal Headache Clinic PLLC was last updated on September 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Coastal Headache Clinic Pllc · NPI 1760139323
Nurse Practitioner organization in Jacksonville, North Carolina. Organization record, active in the CMS NPPES registry since March 3, 2022.
## Identity
- **NPI:** 1760139323 (Entity type: Organization)
- **Enumerated:** March 3, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Terra Kamp, PRESIDENT
## Practice location
- **Address:** 1715 COUNTRY CLUB RD STE B, Jacksonville, NC 28546-6042
- **Phone:** (910) 238-2050
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 17, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1760139323) · Data from the CMS NPPES public registry.