Coastal Southeastern Family Practice, PLLC
NPI 1699067488 · Family Nurse Practitioner · Pembroke, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coastal Southeastern Family Practice, PLLC is a Family Nurse Practitioner organization in Pembroke, NC (NPI 1699067488).
Provider details
- NPI number
- 1699067488
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Katara Chavis, President(910) 521-0099
- License
- 5005148 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
- 2011-05-11
- Last updated
- 2017-03-07
Frequently asked questions
- What is Coastal Southeastern Family Practice, PLLC's NPI number?
- Coastal Southeastern Family Practice, PLLC's National Provider Identifier (NPI) is 1699067488, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Southeastern Family Practice, PLLC?
- Coastal Southeastern Family Practice, PLLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Coastal Southeastern Family Practice, PLLC located?
- Coastal Southeastern Family Practice, PLLC's practice location on file with NPPES is 205 W 3rd St, Pembroke, NC 28372-8768.
- What is Coastal Southeastern Family Practice, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Coastal Southeastern Family Practice, PLLC is (910) 521-0099.
- Does Coastal Southeastern Family Practice, PLLC accept Medicare?
- Coastal Southeastern Family Practice, 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 Coastal Southeastern Family Practice, PLLC?
- The authorized official listed on Coastal Southeastern Family Practice, PLLC's NPPES record is Katara Chavis, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Southeastern Family Practice, PLLC's NPI active?
- Yes — Coastal Southeastern Family Practice, PLLC's NPI (1699067488) is active in the NPPES registry as of the last update on 2017-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.