CAPESIDE ADDICTION CARE, PLLC – NPI #1093280620
Psychiatry & Neurology

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

CAPESIDE ADDICTION CARE, PLLC is a psychiatry & neurologist located in MYRTLE BEACH, SC. NPPES has assigned the NPI number 1093280620 to CAPESIDE ADDICTION CARE, PLLC on October 10, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084A0401X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Addiction Medicine

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 CAPESIDE ADDICTION CARE, PLLC below.

NPI Profile for
CAPESIDE ADDICTION CARE, PLLC

NPI Number
1093280620
Enumeration Date

(more than 7 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
CAPESIDE ADDICTION CARE, PLLC
Primary location
4889 HIGHWAY 17 BYP S
MYRTLE BEACH, SC 29577-6683
Phone: (843) 584-7011 Fax: (843) 945-1355
Mailing address
311 4 E JUDGES ROAD
WILMINGTON, NC 28405
Phone: (910) 791-6767 Fax: (910) 399-2190
Organization Subpart
No
Authorized Official
WILLIAM BEASLEY
CHIEF OPERATING OFFICER
Phone: (910) 791-6767
Updated
Identifiers

Identifiers for CAPESIDE ADDICTION CARE, PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC1255323622
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
2084A0401X
- Psychiatry & Neurology / Addiction Medicine (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.