Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coastal Carolina Health Care, PA

Organization Family Medicine Physician · NPI 1891282638

Coastal Carolina Health Care, PA is a Family Medicine Physician in Havelock, North Carolina. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1224 E Main St
Havelock, NC 28532-2405
Phone: (252) 447-7474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1891282638
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Nuckolls — Ceo · (252) 514-6685
Other names Cchc Havelock Primary And Urgent Care
NPI enumeratedApril 17, 2018
Last updated in NPPESFebruary 22, 2023
Certification dateFebruary 22, 2023
Mailing addressPo Box 12248, New Bern, NC 28561-2248

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