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

Beach Primary Care and Wellness PLLC

Organization Family Medicine Physician · NPI 1053103796

Beach Primary Care and Wellness PLLC provides Family Medicine Physician services in Supply, North Carolina. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

863 Ocean Hwy W
Supply, NC 28462-4059
Phone: (910) 995-7022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1053103796
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Crichton — Family Nurse Practitioner · (910) 755-1200
NPI enumeratedMay 19, 2025
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026
Mailing address863 Ocean Hwy W, Supply, NC 28462-4059

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