COASTAL IMMEDIATE AND PRIMARY
NPI 1912127994
Legal Medicine in Southport, NC

Active since May 01, 2007
4654 LONG BEACH RD SE, SOUTHPORT, NC 28461(910) 457-9564(910) 457-6744 Get Directions Write a Review

NPPES record last updated: November 14, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastal Immediate And Primary NPPES

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

COASTAL IMMEDIATE AND PRIMARY (NPI 1912127994) is a healthcare organization registered as a legal medicine in Southport, North Carolina and active in the NPI registry since May 2007. The organization lists James R Forstner, Owner, as its authorized official.

NPPES Registry Identity

NPI1912127994
Entity TypeOrganization
Primary Taxonomy173000000X
Legal Business NameJAMES R FORSTNER
Location Address4654 LONG BEACH RD SESouthport, NC 28461-8799
Mailing Address4654 Long Beach Rd SeSouthport, NC 28461-8799 · (910) 457-9564 · Fax (910) 457-6744
Fax(910) 457-6744
Organization SubpartNo
Authorized OfficialJames R ForstnerOwner · (910) 457-9564
Enumeration DateMay 1, 2007
Last NPPES UpdateNovember 14, 2007
NPI 1912127994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
License Licensed in NC · 21467
Definition
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
4654 LONG BEACH RD SE, Southport, NC 28461

Other Names 1

Doing Business AsCoastal Immediate And Primary

Other Identifiers 1

Medicare PIN2343376NC

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 4

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

Family Medicine
4654 LONG BEACH RD SE
SOUTHPORT, NC 28461
Physician Assistant (Medical)
4654 LONG BEACH RD SE
SOUTHPORT, NC 28461
Clinic/Center (Federally Qualified Health Center (FQHC))
4654 LONG BEACH RD SE
SOUTHPORT, NC 28461
Clinic/Center (Urgent Care)
4654 LONG BEACH RD SE
SOUTHPORT, NC 28461

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 James R Forstner's NPI number?

The NPI number for James R Forstner is 1912127994. It was assigned to this organization in the NPPES registry on May 1, 2007. The provider is doing business as Coastal Immediate And Primary.

Where is James R Forstner located?

James R Forstner is located at 4654 Long Beach Rd SE, Southport, NC 28461. The listed phone number is (910) 457-9564.

What is James R Forstner's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

When was this NPI record last updated?

The NPPES record for James R Forstner was last updated on November 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.