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

Coastal Pediatric Associates, PLLC

Organization Specialist · NPI 1447638341

Coastal Pediatric Associates, PLLC is a Specialist in Wilmington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2015.

Licensed in
NC
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3505 Converse Dr Ste 200
Wilmington, NC 28403-6131
Phone: (910) 392-5634
Fax: (910) 777-2022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 17469 (NC)

Record details

NPI number1447638341
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Blackstone — Managing Member · (910) 202-8020
NPI enumeratedMay 12, 2015
Last updated in NPPESMay 12, 2015
Mailing address3505 Converse Dr, Suite 200, Wilmington, NC 28403-6131

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