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

Coastal Virginia Spine and Pain Center LLC

Organization Interventional Pain Medicine Physician · NPI 1114496734

Coastal Virginia Spine and Pain Center LLC is an Interventional Pain Medicine Physician in Virginia Beach, Virginia. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4525 S Blvd Ste 200
Virginia Beach, VA 23452-1147
Phone: (757) 227-3820
Fax: (757) 226-9021
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X

Record details

NPI number1114496734
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Ward — Credentialing Manager · (757) 340-3489
NPI enumeratedNovember 14, 2018
Last updated in NPPESOctober 27, 2022
Certification dateOctober 27, 2022
Mailing addressPo Box 2546, Virginia Beach, VA 23450-2546

Other providers in Virginia Beach