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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

COLT BEACHBOARD
NPI 1992611925
Student in an Organized Health Care Education/Training Program in Ahoskie, NC

Active since August 20, 2026
500 ACADEMY ST S, AHOSKIE, NC 27910(252) 209-3000 Get Directions Write a Review

NPPES record added: August 20, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Colt Beachboard NPPES

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

COLT BEACHBOARD (NPI 1992611925) is an individual student in an organized health care education/training program in Ahoskie, North Carolina and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1992611925
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCOLT BEACHBOARD
Location Address500 ACADEMY ST SAhoskie, NC 27910-3248
Mailing Address405 Greenwood DrGreenville, NC 27834-6728
Phone(252) 209-3000
Sole ProprietorYes
Enumeration DateAugust 20, 2026
NPPES CertifiedAugust 20, 2026
✔ NPI 1992611925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
500 ACADEMY ST S, Ahoskie, NC 27910
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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 20

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

SHARON LEE VINSON CRNA
Nurse Anesthetist, Certified Registered
500 ACADEMY ST S
AHOSKIE, NC 27910
Hertford County (252) 209-3159
KAITLYN MAE DITMARS
Occupational Therapist
500 ACADEMY ST S
AHOSKIE, NC 27910
Hertford County (252) 209-3000
BRANDON ELVIS CRNA
Nurse Anesthetist, Certified Registered
500 ACADEMY ST S
AHOSKIE, NC 27910
Hertford County (252) 209-3000
DOROTHY COLLINS RHODES CRNA
Nurse Anesthetist, Certified Registered
500 ACADEMY ST S
AHOSKIE, NC 27910
Hertford County (252) 209-3159
MS. DEBBIE LYNNE HINTON-THOMAS P.A.
Physician Assistant (Medical)
500 ACADEMY ST S
AHOSKIE, NC 27910
Hertford County (252) 209-3148
RENITA DELOATCH SMALLWOOD FNP
Nurse Practitioner (Family)
500 ACADEMY ST S
AHOSKIE, NC 27910
Hertford County (252) 209-3385
MR. JAN A MANSY M.D.
Hospitalist
500 ACADEMY ST S
AHOSKIE, NC 27910
Hertford County (252) 209-3708
EAST CAROLINA HEALTH
Anesthesiology
500 ACADEMY ST S
AHOSKIE, NC 27910
Hertford County (252) 209-3170

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 Colt Beachboard's NPI number?

The NPI number for Colt Beachboard is 1992611925. It was assigned to this individual provider in the NPPES registry on August 20, 2026.

Where is Colt Beachboard located?

Colt Beachboard practices at 500 Academy St S, Ahoskie, NC 27910. The listed phone number is (252) 209-3000.

What is Colt Beachboard's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Colt Beachboard was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.