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NPI · 1649304239 · NPPES-sourced

Coastal Carolinas Integrated Medicine PA

ActivePain Medicine (Physical Medicine & Rehabilitation) Physician
NPI Number
1649304239
Type 2 · Organisation
Contact
(910) 755-6060
License NC · 36621
Last Updated
About 11 months ago (Jul 2025)
Enumerated 2007-03-15
Primary practice addressNC · 28462-4089
10 Doctors Cir, Suite 2Supply, NC 28462-4089
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About this NPIWhat this record shows.

NPI 1649304239 is registered to Coastal Carolinas Integrated Medicine PA, a healthcare organisation classified as "Pain Medicine (Physical Medicine & Rehabilitation) Physician" and located at 10 Doctors Cir, Suite 2 in Supply, North Carolina. The organisation's authorised official is Kenneth Willeford. The organisation has been enumerated in the NPI registry since 2007.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2007-03-15
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 016UXNC· Issued by BCBS

Source: NPPES public registry.

Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Coastal Carolinas Integrated Medicine PA accepts. To confirm in-network status with your specific health plan, contact Coastal Carolinas Integrated Medicine PA directly at (910) 755-6060.

Frequently asked

Yes. NPI 1649304239 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pain Medicine (Physical Medicine & Rehabilitation) Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (910) 755-6060.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Coastal Carolinas Integrated Medicine PA is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy2081P2900X
Last updated2025-07
Enumerated2007-03-15
StatusActive
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Same specialtyOther Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in North Carolina.

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