Coastal Virginia Spine and Pain Center LLC
NPI 1114496734 · Interventional Pain Medicine Physician · Virginia Beach, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coastal Virginia Spine and Pain Center LLC is a Interventional Pain Medicine Physician organization in Virginia Beach, VA (NPI 1114496734).
Provider details
- NPI number
- 1114496734
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amanda Ward, Credentialing Manager(757) 340-3489
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
7 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
- 2018-11-14
- Last updated
- 2022-10-27
- Certified
- 2022-10-27
Frequently asked questions
- What is Coastal Virginia Spine and Pain Center LLC's NPI number?
- Coastal Virginia Spine and Pain Center LLC's National Provider Identifier (NPI) is 1114496734, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Virginia Spine and Pain Center LLC?
- Coastal Virginia Spine and Pain Center LLC is classified in the NPPES registry as Interventional Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Coastal Virginia Spine and Pain Center LLC located?
- Coastal Virginia Spine and Pain Center LLC's practice location on file with NPPES is 4525 South Blvd Ste 200, Virginia Beach, VA 23452-1147.
- What is Coastal Virginia Spine and Pain Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Coastal Virginia Spine and Pain Center LLC is (757) 227-3820.
- Does Coastal Virginia Spine and Pain Center LLC accept Medicare?
- Coastal Virginia Spine and Pain Center LLC 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 Coastal Virginia Spine and Pain Center LLC?
- The authorized official listed on Coastal Virginia Spine and Pain Center LLC's NPPES record is Amanda Ward, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Virginia Spine and Pain Center LLC's NPI active?
- Yes — Coastal Virginia Spine and Pain Center LLC's NPI (1114496734) is active in the NPPES registry as of the last update on 2022-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.