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COASTLINE FAMILY MEDICINE PLLC
NPI 1952981391
Clinic/Center in Jacksonville, NC

Active since April 09, 2021CLIA 34D2223741 · Waiver
2145 COUNTRY CLUB RD STE 500, JACKSONVILLE, NC 28546(910) 353-0565(910) 353-3940 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 3, 2023, Nov 3, 2021, Apr 9, 2021 (3 updates tracked since 2021).

About Coastline Family Medicine Pllc NPPES

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

COASTLINE FAMILY MEDICINE PLLC (NPI 1952981391) is a healthcare organization registered as a clinic/center in Jacksonville, North Carolina and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through May 9, 2027 and lists Regina Yost, Owner, as its authorized official.

NPPES Registry Identity

NPI1952981391
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCOASTLINE FAMILY MEDICINE PLLC
Location Address2145 COUNTRY CLUB RD STE 500Jacksonville, NC 28546-2404
Mailing Address2145 Country Club Rd Ste 500Jacksonville, NC 28546-2404 · (910) 353-0565 · Fax (910) 353-3940
Phone(910) 353-0565
Fax(910) 353-3940
Organization SubpartNo
Authorized OfficialRegina YostOwner · (910) 548-1589
Enumeration DateApril 9, 2021
Last NPPES UpdateMay 3, 20233 updates tracked since enumeration
NPPES CertifiedApril 20, 2023
✔ NPI 1952981391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedFamily MedicineTaxonomy 207Q00000X
2145 COUNTRY CLUB RD STE 500, Jacksonville, NC 28546
Open in Google Maps ↗

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

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 of Waiver 34D2223741

Coastline Family Medicine,pllc · Jacksonville, NC
Active · expires May 9, 2027
CLIA Number34D2223741
Laboratory TypePhysician Office
Certificate Effective DateMay 10, 2025
Certificate Expiration DateMay 9, 2027
Laboratory DirectorRegina L. Yost
Laboratory Phone(910) 353-0565
Laboratory LocationCoastline Family Medicine,pllc2145 Country Club Rd Ste 500, Jacksonville, NC 28546
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. ASHLEY WILLIAMS DNP, AGNP
Nurse Practitioner (Adult Health)
2145 COUNTRY CLUB RD STE 500
JACKSONVILLE, NC 28546
Onslow County (910) 353-0565
ALEXANDER JAMES HARAGEONES NURSE PRACTITIONER
Nurse Practitioner (Family)
2145 COUNTRY CLUB RD STE 500
JACKSONVILLE, NC 28546
Onslow County (910) 352-1969
MRS. CHRISTIAN LANIER MILLS ANP-C
Nurse Practitioner (Adult Health)
2145 COUNTRY CLUB RD STE 500
JACKSONVILLE, NC 28546
Onslow County (910) 353-0565
CORAH EDWARDS-SEALE FNP-C
Nurse Practitioner (Family)
2145 COUNTRY CLUB RD STE 500
JACKSONVILLE, NC 28546
Onslow County (910) 353-0565

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 Coastline Family Medicine PLLC's NPI number?

The NPI number for Coastline Family Medicine PLLC is 1952981391. It was assigned to this organization in the NPPES registry on April 9, 2021.

Where is Coastline Family Medicine PLLC located?

Coastline Family Medicine PLLC is located at 2145 Country Club Rd Ste 500, Jacksonville, NC 28546. The listed phone number is (910) 353-0565.

What is Coastline Family Medicine PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Coastline Family Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2223741) 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 Coastline Family Medicine PLLC was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.