COASTAL PRIMARY CARE AND WELLNESS, PLLC
NPI 1982350237
Nurse Practitioner in Ocean Isle Beach, NC

Active since February 24, 2022CLIA 34D2257305 · Waiver
7183 BEACH DR SW # 1, OCEAN ISLE BEACH, NC 28469(910) 795-1700(910) 661-0683 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2023, Feb 24, 2022 (2 updates tracked since 2022).

About Coastal Primary Care And Wellness, Pllc NPPES

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

COASTAL PRIMARY CARE AND WELLNESS, PLLC (NPI 1982350237) is a healthcare organization registered as a nurse practitioner in Ocean Isle Beach, North Carolina and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through April 3, 2028 and lists Amanda L Mabe, Co-manager/owner, as its authorized official.

NPPES Registry Identity

NPI1982350237
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameCOASTAL PRIMARY CARE AND WELLNESS, PLLC
Location Address7183 BEACH DR SW # 1Ocean Isle Beach, NC 28469-5634
Mailing Address7183 Beach Dr Sw # 1Ocean Isle Beach, NC 28469-5634 · (910) 795-1700 · Fax (910) 661-0683
Fax(910) 661-0683
Organization SubpartNo
Authorized OfficialAmanda L MabeCo-manager/owner · (336) 613-4862
Enumeration DateFebruary 24, 2022
Last NPPES UpdateMarch 27, 20232 updates tracked since enumeration
NPPES CertifiedMarch 27, 2023
NPI 1982350237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
7183 BEACH DR SW # 1, Ocean Isle Beach, NC 28469

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 34D2257305

Coastal Primary Care And Wellness, PLLC · Ocean Isle Beach, NC
Active · expires Apr 3, 2028
CLIA Number34D2257305
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2026
Certificate Expiration DateApril 3, 2028
Laboratory DirectorMeredith W. Anderson
Laboratory Phone(910) 795-1700
Laboratory LocationCoastal Primary Care And Wellness, PLLC7183 Beach Drive SW #1, Ocean Isle Beach, NC 28469
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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.

Nurse Practitioner (Family)
7183 BEACH DR SW # 1
OCEAN ISLE BEACH, NC 28469

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 Coastal Primary Care And Wellness, PLLC's NPI number?

The NPI number for Coastal Primary Care And Wellness, PLLC is 1982350237. It was assigned to this organization in the NPPES registry on February 24, 2022.

Where is Coastal Primary Care And Wellness, PLLC located?

Coastal Primary Care And Wellness, PLLC is located at 7183 Beach Dr SW # 1, Ocean Isle Beach, NC 28469. The listed phone number is (910) 795-1700.

What is Coastal Primary Care And Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Coastal Primary Care And Wellness, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2257305) is associated with this NPI, valid through April 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coastal Primary Care And Wellness, PLLC was last updated on March 27, 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.