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HOLDEN BEACH MEDICAL CENTER PA
NPI 1770722118
Physician Assistant - Medical in Supply, NC

Active since February 09, 2009
2930 HOLDEN BEACH RD SW, SUPPLY, NC 28462(910) 842-5991(910) 842-5994 Get Directions Write a Review

NPPES record last updated: February 9, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holden Beach Medical Center Pa NPPES

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

HOLDEN BEACH MEDICAL CENTER PA (NPI 1770722118) is a healthcare organization registered as a medical in Supply, North Carolina and active in the NPI registry since February 2009. The organization lists Heather Marie Merrow, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1770722118
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameHOLDEN BEACH MEDICAL CENTER PA
Location Address2930 HOLDEN BEACH RD SWSupply, NC 28462-5702
Mailing Address2930 Holden Beach Rd SwSupply, NC 28462-5702 · (910) 842-5991
Phone(910) 842-5991
Fax(910) 842-5994
Organization SubpartNo
Authorized OfficialHeather Marie MerrowOwner/president · (910) 842-5991
Enumeration DateFebruary 9, 2009
✔ NPI 1770722118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 152387
2930 HOLDEN BEACH RD SW, Supply, NC 28462
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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

Other Providers at the Same Location NPPES 3

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

HOLDEN BEACH MEDICAL CENTER, PA
Clinic/Center (Primary Care)
2930 HOLDEN BEACH RD SW
SUPPLY, NC 28462
Brunswick County (910) 842-5991
MRS. AMY SUE KELLY PA-C
Physician Assistant
2930 HOLDEN BEACH RD SW
SUPPLY, NC 28462
Brunswick County (910) 842-5991
BERNARD LEROY LANGSTON III MD
Family Medicine
2930 HOLDEN BEACH RD SW
SUPPLY, NC 28462
Brunswick County (910) 842-5991

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 Holden Beach Medical Center PA's NPI number?

The NPI number for Holden Beach Medical Center PA is 1770722118. It was assigned to this organization in the NPPES registry on February 9, 2009.

Where is Holden Beach Medical Center PA located?

Holden Beach Medical Center PA is located at 2930 Holden Beach Rd SW, Supply, NC 28462. The listed phone number is (910) 842-5991.

What is Holden Beach Medical Center PA's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Holden Beach Medical Center PA was last updated on February 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.