CRYSTAL COAST PAIN MANAGEMENT CENTER, PLLC
NPI 1790747988
Anesthesiology - Pain Medicine in New Bern, NC
About Crystal Coast Pain Management Center, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL COAST PAIN MANAGEMENT CENTER, PLLC (NPI 1790747988) is a healthcare organization registered as a pain medicine in New Bern, North Carolina and active in the NPI registry since April 2006. The organization lists Kirk Edward Harum, Owner/ Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted 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)
Crystal Coast Pain Management Center, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Crystal Coast Pain Management Center, PLLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (11)
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 Crystal Coast Pain Management Center, PLLC's NPI number?
The NPI number for Crystal Coast Pain Management Center, PLLC is 1790747988. It was assigned to this organization in the NPPES registry on April 4, 2006.
Where is Crystal Coast Pain Management Center, PLLC located?
Crystal Coast Pain Management Center, PLLC is located at 2111 Neuse Blvd. Suite J, New Bern, NC 28560. The listed phone number is (252) 636-0300.
What is Crystal Coast Pain Management Center, PLLC's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.
Is Crystal Coast Pain Management Center, PLLC enrolled in Medicare?
Yes. Crystal Coast Pain Management Center, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Crystal Coast Pain Management Center, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 5 Medicare specialties reassign their Medicare billing to Crystal Coast Pain Management Center, 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. The largest specialties are Nurse Practitioner (5), Interventional Pain Management (3) and Anesthesiology (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Crystal Coast Pain Management Center, PLLC accept?
Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Crystal Coast Pain Management Center, 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 Crystal Coast Pain Management Center, PLLC was last updated on July 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Crystal Coast Pain Management Center, Pllc · NPI 1790747988
Pain Medicine organization in New Bern, North Carolina. Organization record, active in the CMS NPPES registry since April 4, 2006.
## Identity
- **NPI:** 1790747988 (Entity type: Organization)
- **Enumerated:** April 4, 2006
- **Primary specialty:** Anesthesiology - Pain Medicine · taxonomy 207LP2900X
- **Organization subpart:** No
- **Authorized official:** Kirk Harum, OWNER/ PHYSICIAN
## Practice location
- **Address:** 2111 NEUSE BLVD. SUITE J, New Bern, NC 28560
- **Phone:** (252) 636-0300 · **Fax:** (252) 636-0335
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Interventional Pain Management (3), Anesthesiology (1); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 25, 2018
- **Other identifiers:** Medicaid 8940362 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1790747988) · Data from the CMS NPPES public registry.