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

Coastal Carolina Neuropsychiatric Center, PA

Organization Family Medicine Physician · NPI 1770872871

Coastal Carolina Neuropsychiatric Center, PA is a Family Medicine Physician in Jacksonville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011
Specialties on file
4
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

200 Tarpon Trl
Jacksonville, NC 28546-5287
Phone: (910) 938-1114
Fax: (910) 938-1118
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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
Family Medicine Physician Taxonomy 207Q00000X · Licence 200200418 (NC)
Neurology Physician Taxonomy 2084N0400X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1770872871
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashraf Mikhail — Ceo, Owner · (910) 938-1114
NPI enumeratedMarch 30, 2011
Last updated in NPPESApril 4, 2013
Mailing address200 Tarpon Trl, Jacksonville, NC 28546-5287

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