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

Oak Island Pediatrics, PA

Organization Counselor · NPI 1205815685

Oak Island Pediatrics, PA is a Counselor in Southport, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
3
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

4734 Long Beach Rd SE
Southport, NC 28461-8721
Phone: (910) 457-0070
Fax: (910) 457-0062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 9900076 (NC)
Counselor Taxonomy 101Y00000X · Licence 4773 (NC)
Psychologist Taxonomy 103T00000X · Licence 3068 (NC)

Record details

NPI number1205815685
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jugta Kahai — President · (910) 457-0070
NPI enumeratedJanuary 12, 2006
Last updated in NPPESNovember 20, 2012
Mailing address4734 Long Beach Rd Se, Southport, NC 28461-8721

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