OrganizationActive
Chicora Medical Group PA
NPI 1881663227 · Family Medicine Physician · Supply, NC
Chicora Medical Group PA is a Family Medicine Physician organization in Supply, NC (NPI 1881663227).
Provider details
- NPI number
- 1881663227
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bernard Langston, President(910) 754-8731
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
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
20 Medical Campus Dr
Ste 106b
Supply, NC 28462
Phone: (910) 754-8600
Fax: (910) 755-2364
Street-level locationGet directions
Mailing address
Po Box 2528
Shallotte, NC 28459
Other names (DBA / former)
- Doing business as
- Brunswick Speciality Services
Registry dates
- Enumerated
- 2006-03-17
- Last updated
- 2008-03-11
Frequently asked questions
- What is Chicora Medical Group PA's NPI number?
- Chicora Medical Group PA's National Provider Identifier (NPI) is 1881663227, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Chicora Medical Group PA?
- Chicora Medical Group PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Chicora Medical Group PA located?
- Chicora Medical Group PA's practice location on file with NPPES is 20 Medical Campus Dr, Supply, NC 28462.
- What is Chicora Medical Group PA's phone number?
- The practice phone number listed in the NPPES registry for Chicora Medical Group PA is (910) 754-8600.
- Who is the authorized official for Chicora Medical Group PA?
- The authorized official listed on Chicora Medical Group PA's NPPES record is Bernard Langston, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Chicora Medical Group PA's NPI active?
- Yes — Chicora Medical Group PA's NPI (1881663227) is active in the NPPES registry as of the last update on 2008-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.