Intracoastal Executive Wellness
NPI 1013760172 · Internal Medicine Physician · Southport, NC
Intracoastal Executive Wellness is a Internal Medicine Physician organization in Southport, NC (NPI 1013760172).
Provider details
- NPI number
- 1013760172
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Richard Hilliard, Member(910) 286-7420
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-04-09
- Last updated
- 2024-04-09
- Certified
- 2024-04-09
Frequently asked questions
- What is Intracoastal Executive Wellness's NPI number?
- Intracoastal Executive Wellness's National Provider Identifier (NPI) is 1013760172, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Intracoastal Executive Wellness?
- Intracoastal Executive Wellness is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Intracoastal Executive Wellness located?
- Intracoastal Executive Wellness's practice location on file with NPPES is 606 W West St Ste 202, Southport, NC 28461-3850.
- What is Intracoastal Executive Wellness's phone number?
- The practice phone number listed in the NPPES registry for Intracoastal Executive Wellness is (910) 286-7420.
- Who is the authorized official for Intracoastal Executive Wellness?
- The authorized official listed on Intracoastal Executive Wellness's NPPES record is Richard Hilliard, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Intracoastal Executive Wellness's NPI active?
- Yes — Intracoastal Executive Wellness's NPI (1013760172) is active in the NPPES registry as of the last update on 2024-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.