CCN-WHITEVILLE – NPI #1649525064
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CCN-WHITEVILLE is a provider located in WHITEVILLE, NC. NPPES has assigned the NPI number 1649525064 to CCN-WHITEVILLE on July 23, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CCN-WHITEVILLE” is a dba name, the actual legal business name for this organization is COASTAL CAROLINA NEONATOLOGY, PLLC. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 11 years ago on Oct 13, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CCN-WHITEVILLE below.

NPI Profile for
COASTAL CAROLINA NEONATOLOGY, PLLC

NPI Number
1649525064
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COASTAL CAROLINA NEONATOLOGY, PLLC
Doing Business As (dba): CCN-WHITEVILLE
Primary location
823 JEFFERSON ST
WHITEVILLE, NC 28472-3703
Phone: (910) 772-9202 Fax: (910) 772-9452
Mailing address
1915 GLEN MEADE RD
WILMINGTON, NC 28403-6024
Phone: (910) 772-9202 Fax: (910) 772-9452
Organization Subpart
No
Authorized Official
FERNANDO MOYA
PRESIDENT
Phone: (910) 772-9202
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.