Coastal Carolina Internal Medicine, PA
NPI 1881619740 · Primary Care Clinic/Center · Jacksonville, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coastal Carolina Internal Medicine, PA is a Primary Care Clinic/Center organization in Jacksonville, NC (NPI 1881619740).
Provider details
- NPI number
- 1881619740
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mitzi Ros, Office Manager(910) 937-0008
- License
- 200200443 (NC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2006-07-13
- Last updated
- 2019-10-30
Frequently asked questions
- What is Coastal Carolina Internal Medicine, PA's NPI number?
- Coastal Carolina Internal Medicine, PA's National Provider Identifier (NPI) is 1881619740, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Carolina Internal Medicine, PA?
- Coastal Carolina Internal Medicine, PA is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Coastal Carolina Internal Medicine, PA located?
- Coastal Carolina Internal Medicine, PA's practice location on file with NPPES is 2420 Henderson Dr, Jacksonville, NC 28546-5254.
- What is Coastal Carolina Internal Medicine, PA's phone number?
- The practice phone number listed in the NPPES registry for Coastal Carolina Internal Medicine, PA is (910) 937-0008.
- Does Coastal Carolina Internal Medicine, PA accept Medicare?
- Coastal Carolina Internal Medicine, PA 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 Carolina Internal Medicine, PA?
- The authorized official listed on Coastal Carolina Internal Medicine, PA's NPPES record is Mitzi Ros, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Carolina Internal Medicine, PA's NPI active?
- Yes — Coastal Carolina Internal Medicine, PA's NPI (1881619740) is active in the NPPES registry as of the last update on 2019-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.