COASTAL CAROLINA RADIOLOGY, PLLC
NPI 1306029004
Radiology - Diagnostic Radiology in Elizabeth City, NC

NPI Status: Active since December 17, 2007

Contact Information

1144 N ROAD ST
HWY 17N
ELIZABETH CITY, NC
ZIP 27909
Phone: (252) 384-4615
Fax: (252) 384-4684

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  • Organization
  • Radiology
  • Diagnostic Radiology

About COASTAL CAROLINA RADIOLOGY, PLLC

This page provides the complete NPI Profile along with additional information for Coastal Carolina Radiology, Pllc, a provider established in Elizabeth City, North Carolina operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1306029004 assigned on December 2007. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is William Jefferson Beavers M.d. (Member)

NPI
1306029004
Provider Name
COASTAL CAROLINA RADIOLOGY, PLLC
Entity Type
Organization
Location Address
1144 N ROAD ST HWY 17N ELIZABETH CITY, NC 27909
Location Phone
(252) 384-4615
Location Fax
(252) 384-4684
Mailing Address
PO BOX 12017 NEWPORT NEWS, VA 23612
Mailing Phone
(757) 867-6101
Mailing Fax
(252) 384-4684
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-17-2007
Last Update Date
04-28-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WILLIAM JEFFERSON BEAVERS M.D.

Authorized Official Title
MEMBER
Authorized Official Phone
(252) 384-4615

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
DG9218MEDICARE PIN (08)NC 
232218MEDICARE PIN (08)NC 
019YNOTHER (01)NCBCBS
5908639MEDICAID (05)NC 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1306029004
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2306021800
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 0 + 6 + 0 + 2 + 1 + 8 + 0 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1306029004 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639163645PATHOLOGY ASSOCIATES II OF EASTERN NORTH CAROLINA PC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)1144 N ROAD ST
ELIZABETH CITY, NC 27909
(252) 335-0531
1124012968DR. JOSEPH LETCHER ROBERTSON JR. MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1144 N ROAD ST
ELIZABETH CITY, NC 27909
(252) 335-3531
1376594580 SHARON IANNOTTE CRNA
Individual
Nurse Anesthetist, Certified Registered1144 N ROAD ST
ELIZABETH CITY, NC 27909
(252) 335-0531
1851342711 TERRY H BEAMON CRNA
Individual
Nurse Anesthetist, Certified Registered1144 N ROAD ST
ELIZABETH CITY, NC 27909
(252) 335-0531
1811948763 PATRICIA HEATH ANDERSON CRNA
Individual
Nurse Anesthetist, Certified Registered1144 N ROAD ST
ELIZABETH CITY, NC 27909
(252) 335-0531
1689626954 TRACI BURKE CRNA
Individual
Nurse Anesthetist, Certified Registered1144 N ROAD ST
ELIZABETH CITY, NC 27909
(252) 335-0531
1376595751 JANE F SCHNEIDER CRNA
Individual
Nurse Anesthetist, Certified Registered1144 N ROAD ST
ELIZABETH CITY, NC 27909
(252) 335-0531
1952353906 KENNETH D TOLIN CRNA
Individual
Nurse Anesthetist, Certified Registered1144 N ROAD ST
ELIZABETH CITY, NC 27909
(252) 335-0531
1053363812 JOHN MARTIN WHALEN CRNA
Individual
Nurse Anesthetist, Certified Registered1144 N ROAD ST
ELIZABETH CITY, NC 27909
(252) 335-0531
1205875267EMERGENCY MEDICINE PHYSICIANS OF PASQUOTANK COUNTY, PLLC
Organization
Emergency Medicine1144 N ROAD ST
ELIZABETH CITY, NC 27909
(330) 493-4443
1811921646 DEBORAH LEE CLARK PA
Individual
Physician Assistant1144 N ROAD ST
ELIZABETH CITY, NC 27909
(252) 384-4133
1902910672 WESTELL CAREW PHELAN MD
Individual
Radiology (Diagnostic Radiology)1144 N ROAD ST ALBEMARLE HOSPITAL HWY 17N
ELIZABETH CITY, NC 27909
(252) 384-4615
1346343613DR. HUYLA G COKER PHARMD
Individual
Pharmacist (Pharmacotherapy)1144 N ROAD ST POST OFFICE BOX 1587
ELIZABETH CITY, NC 27909
(252) 335-0531
1942306717 ANTHONY C DUARTE MD
Individual
Emergency Medicine1144 N ROAD ST
ELIZABETH CITY, NC 27909
(330) 493-4443
1023102985ANESTHESIA SERVICES OF ALBEMARLE LLC
Organization
Anesthesiology1144 N ROAD ST
ELIZABETH CITY, NC 27909
(252) 335-0531
1740378405 JEREMY SIMONSEN MD
Individual
Emergency Medicine1144 N ROAD ST
ELIZABETH CITY, NC 27909
(330) 493-4443
1548346018 ROBBIE D COLLINS CRNA
Individual
Nurse Anesthetist, Certified Registered1144 N ROAD ST
ELIZABETH CITY, NC 27909
(828) 580-5573
1538220991COMMUNITY HOSPITALISTS OF NORTH CAROLINA, PC
Organization
Internal Medicine1144 N ROAD ST
ELIZABETH CITY, NC 27909
(252) 335-0531
1346393782 CARMEN BELINDA MASSEY D.O.
Individual
Emergency Medicine1144 N ROAD ST
ELIZABETH CITY, NC 27909
(252) 384-4449
1871639187MRS. MARGARET B DEANES RN, BSN, RNFA
Individual
Registered Nurse (Registered Nurse First Assistant)1144 N ROAD ST
ELIZABETH CITY, NC 27909
(252) 384-4107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306029004, enumerated in the NPI registry as an "organization" on December 17, 2007

The provider is located at 1144 N Road St Hwy 17n Elizabeth City, Nc 27909 and the phone number is (252) 384-4615

This medical organization specializes in Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 17, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.