Coastal Headache Clinic PLLC
NPI 1760139323 · Nurse Practitioner · Jacksonville, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coastal Headache Clinic PLLC is a Nurse Practitioner organization in Jacksonville, NC (NPI 1760139323).
Provider details
- NPI number
- 1760139323
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Terra Kamp, President(614) 571-4245
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
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
4 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
- 2022-03-03
- Last updated
- 2022-09-17
- Certified
- 2022-09-17
Frequently asked questions
- What is Coastal Headache Clinic PLLC's NPI number?
- Coastal Headache Clinic PLLC's National Provider Identifier (NPI) is 1760139323, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Headache Clinic PLLC?
- Coastal Headache Clinic PLLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Coastal Headache Clinic PLLC located?
- Coastal Headache Clinic PLLC's practice location on file with NPPES is 1715 Country Club Rd Ste B, Jacksonville, NC 28546-6042.
- What is Coastal Headache Clinic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Coastal Headache Clinic PLLC is (910) 238-2050.
- Does Coastal Headache Clinic PLLC accept Medicare?
- Coastal Headache Clinic 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 Headache Clinic PLLC?
- The authorized official listed on Coastal Headache Clinic PLLC's NPPES record is Terra Kamp, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Headache Clinic PLLC's NPI active?
- Yes — Coastal Headache Clinic PLLC's NPI (1760139323) is active in the NPPES registry as of the last update on 2022-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.