COASTAL CAROLINA PROSTHETICS & ORTHOTICS, INC. (NPI# 1386842193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386842193 |
| Entity Type | Organization |
| Organization Name | COASTAL CAROLINA PROSTHETICS & ORTHOTICS, INC. |
| Practice Address |
103 Nc Highway 42 W Ahoskie NC 27910-9725 |
| Practice Telephone | 2523324334 |
| Practice Fax Number | 2523382902 |
| Mailing Telephone | 2523324334 |
| Mailing Fax Number | 2523382902 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2017-07-21 |
| Authorized Official Name | SYLVIA S MEADS (OFFICE MANAGER) |
| Authorized Official Telephone | 2523383002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | NC | Suppliers | |
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 0482P | 01 |
| NC | 7705057 | 05 | |
| NC | 7701327 | 05 | |
| VA | BCBS | 384410 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912437930 | Coastal Carolina Prosthetics & Orthotics, Inc. | Prosthetist | 1970 W Arlington Blvd Ste A, Greenville, NC 27834-5783 | 2017-06-13 |
| 1790233385 | Coastal Carolina Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 1715 Country Club Rd Ste B, Jacksonville, NC 28546-6042 | 2016-09-13 |
| 1760583033 | Coastal Carolina Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 148 Burnetts Way Ste 104, Suffolk, VA 23434-6149 | 2006-09-26 |
| 1124096292 | Coastal Carolina Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 106 Medical Drive, Elizabeth City, NC 27909 | 2006-03-14 |
| 1710344304 | Coastal Carolina Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 2800 Ashton Dr Ste 201, Wilmington, NC 28412-2486 | 2016-01-27 |
| 1659472926 | Coastal Carolina Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 405 W 15th St, Washington, NC 27889-3524 | 2006-09-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COASTAL CAROLINA PROSTHETICS & ORTHOTICS, INC. | 103 Nc Hwy 42 W, Ahoskie, NC 27910-9725 |
| Street Address |
103 NC HIGHWAY 42 W |
| City | AHOSKIE |
| State | NC |
| Zip Code | 27910-9725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376039446 | Liberty Healthcare Group LLC | Home Health | 216 Church Street, W, Ahoskie, NC 27910 | 2018-07-02 |
| 1265925697 | Livingwordoutreachministries.com | Health Educator | 208 Carolina Ave S, Ahoskie, NC 27910 | 2018-06-11 |
| 1932623956 | Vernon David Collins | Pharmacist | 925 East Memorial Drive, Ahoskie, NC 27910 | 2017-08-01 |
| 1417484890 | Apoorva Vivek Saoji | Internal Medicine | 500 S Academy St, Hospitalist Department, Attn Lou Harrell, Ahoskie, NC 27910 | 2017-05-17 |
| 1124483532 | Shanta Harrell | Adult Companion | 106 Holloman Avenue, Ahoskie, NC 27910 | 2015-12-30 |
| 1144607623 | All-american Home Care, LLC | In Home Supportive Care | 900 E. Memorial Dr, Ahoskie, NC 27910 | 2015-05-04 |
| 1649660481 | Lindsay Yount Lyall | Physician Assistant | 500 South Academy Street, Ahoskie, NC 27910 | 2015-02-02 |
| 1932506771 | Kathy Massengale | Nurse Practitioner | 312 South Academy Street Suite B, Integrated Family Services, Ahoskie, NC 27910 | 2014-11-21 |
| 1750700795 | Jessica Brown Spruill | Dietitian, Registered | 718 Evans Street, Ahoskie, NC 27910 | 2014-04-07 |
| 1437405578 | Lakeisha Yvette Walker | Counselor | 114b West St S, Ahoskie, NC 27910 | 2012-07-26 |
| Find all providers in zip 27910 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
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| 1003426388 | Bradley Cecil | Durable Medical Equipment & Medical Supplies | 50 E Main St Ste 100, Thomasville, NC 27360-4000 | 2020-08-03 |
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| 1275189540 | Et Care Inc | Durable Medical Equipment & Medical Supplies | 500 E Gannon Ave, Zebulon, NC 27597-2776 | 2019-08-13 |
| 1821656976 | Ashley S Desaix Dds Pa | Durable Medical Equipment & Medical Supplies | 3420 Ten Ten Rd Ste 310, Cary, NC 27518-6101 | 2019-06-04 |
| 1790349850 | Unique Boutique Inc | Durable Medical Equipment & Medical Supplies | 200 Medical Park Dr Ste 145, Concord, NC 28025-0928 | 2019-04-24 |
| 1447719810 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 8421 Old Statesville Rd Ste 18, Charlotte, NC 28269-1838 | 2019-03-15 |
| 1821569294 | Atlantic Coast Orthopedic Medical Supplies | Durable Medical Equipment & Medical Supplies | 6510 Northpark Blvd Ste A, Charlotte, NC 28216-2367 | 2018-12-11 |
| 1215444195 | Monica Lilly | Durable Medical Equipment & Medical Supplies | 123 N Main St Ste A, Norwood, NC 28128-9603 | 2018-01-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.