1. Home
  2. Directory
  3. North Carolina
  4. Ocean Isle Beach
  5. Clinic Center
  6. NPI Profile

OCEAN ISLE BEACH FAMILY MEDICINE. PC
NPI 1902162928
Clinic/Center - Primary Care in Ocean Isle Beach, NC

Active since April 03, 2012CLIA 34D1040435 · Microscopy
120 CAUSEWAY DR STE 3, OCEAN ISLE BEACH, NC 28469(910) 575-5004(855) 575-0700 Get Directions Write a Review

NPPES record last updated: October 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ocean Isle Beach Family Medicine. Pc NPPES

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

OCEAN ISLE BEACH FAMILY MEDICINE. PC (NPI 1902162928) is a healthcare organization registered as a primary care in Ocean Isle Beach, North Carolina and active in the NPI registry since April 2012. The organization holds a CLIA Microscopy certificate valid through May 9, 2027 and lists Daniel R. Blizzard, Physician, as its authorized official.

NPPES Registry Identity

NPI1902162928
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameOCEAN ISLE BEACH FAMILY MEDICINE. PC
Location Address120 CAUSEWAY DR STE 3Ocean Isle Beach, NC 28469-7581
Mailing Address120 Causeway Dr Ste 3Ocean Isle Beach, NC 28469-7581 · (910) 575-5004 · Fax (855) 575-0700
Phone(910) 575-5004
Fax(855) 575-0700
Organization SubpartNo
Authorized OfficialDaniel R. BlizzardPhysician · (910) 575-5004
Enumeration DateApril 3, 2012
Last NPPES UpdateOctober 25, 2017
✔ NPI 1902162928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NC · 181477
120 CAUSEWAY DR STE 3, Ocean Isle Beach, NC 28469
Open in Google Maps ↗

Other Identifiers 4

Other1902162928Npi
Other34D1040435Clia
OtherB502NC · Medicare Ptan
Medicaid5920193NC

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 for Provider-Performed Microscopy Procedures (PPMP) 34D1040435

Ocean Isle Beach Family Medicine · Ocean Isle Beach, NC
Active · expires May 9, 2027
CLIA Number34D1040435
Laboratory TypePhysician Office
Certificate Effective DateMay 10, 2025
Certificate Expiration DateMay 9, 2027
Laboratory DirectorDaniel R. Blizzard
Laboratory Phone(910) 575-5004
Laboratory LocationOcean Isle Beach Family Medicine120 Causeway Drive, Suite 3, Ocean Isle Beach, NC 28469
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

DR. DANIEL R. BLIZZARD DO
Family Medicine
120 CAUSEWAY DR STE 3
OCEAN ISLE BEACH, NC 28469
Brunswick County (910) 575-5004

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 Ocean Isle Beach Family Medicine. PC's NPI number?

The NPI number for Ocean Isle Beach Family Medicine. PC is 1902162928. It was assigned to this organization in the NPPES registry on April 3, 2012.

Where is Ocean Isle Beach Family Medicine. PC located?

Ocean Isle Beach Family Medicine. PC is located at 120 Causeway Dr Ste 3, Ocean Isle Beach, NC 28469. The listed phone number is (910) 575-5004.

What is Ocean Isle Beach Family Medicine. PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Ocean Isle Beach Family Medicine. PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D1040435) is associated with this NPI, valid through May 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ocean Isle Beach Family Medicine. PC was last updated on October 25, 2017. 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.