Beach Primary Care and Wellness PLLC
NPI 1053103796 · Family Medicine Physician · Supply, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Beach Primary Care and Wellness PLLC is a Family Medicine Physician organization in Supply, NC (NPI 1053103796).
Provider details
- NPI number
- 1053103796
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Crichton, Family Nurse Practitioner(910) 755-1200
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2025-05-19
- Last updated
- 2026-03-26
- Certified
- 2026-03-26
Frequently asked questions
- What is Beach Primary Care and Wellness PLLC's NPI number?
- Beach Primary Care and Wellness PLLC's National Provider Identifier (NPI) is 1053103796, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beach Primary Care and Wellness PLLC?
- Beach Primary Care and Wellness PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Beach Primary Care and Wellness PLLC located?
- Beach Primary Care and Wellness PLLC's practice location on file with NPPES is 863 Ocean Hwy W, Supply, NC 28462-4059.
- What is Beach Primary Care and Wellness PLLC's phone number?
- The practice phone number listed in the NPPES registry for Beach Primary Care and Wellness PLLC is (910) 995-7022.
- Does Beach Primary Care and Wellness PLLC accept Medicare?
- Beach Primary Care and Wellness PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Beach Primary Care and Wellness PLLC?
- The authorized official listed on Beach Primary Care and Wellness PLLC's NPPES record is Mary Crichton, Family Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beach Primary Care and Wellness PLLC's NPI active?
- Yes — Beach Primary Care and Wellness PLLC's NPI (1053103796) is active in the NPPES registry as of the last update on 2026-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.