Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Coastal Carolina Neuropsychiatric Center, PA

Organization Family Medicine Physician · NPI 1770872871

Coastal Carolina Neuropsychiatric Center, PA provides Family Medicine Physician services in Jacksonville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011
Specialties on file
4
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

200 Tarpon Trl
Jacksonville, NC 28546-5287 Not confirmed with CMS for 13 years — call before visiting
Phone: (910) 938-1114
Fax: (910) 938-1118
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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
Family Medicine Physician Taxonomy 207Q00000X · Licence 200200418 (NC)
Neurology Physician Taxonomy 2084N0400X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1770872871
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashraf Mikhail — Ceo, Owner · (910) 938-1114
NPI enumeratedMarch 30, 2011
Last updated in NPPESApril 4, 2013
Mailing address200 Tarpon Trl, Jacksonville, NC 28546-5287

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