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

Coastal Pediatric Associates, PLLC

Organization Specialist · NPI 1447638341

Coastal Pediatric Associates, PLLC provides Specialist services in Wilmington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2015.

Licensed in
NC
In the registry since
2015
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

3505 Converse Dr Ste 200
Wilmington, NC 28403-6131 Not confirmed with CMS for 11 years — call before visiting
Phone: (910) 392-5634
Fax: (910) 777-2022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 17469 (NC)

Record details

NPI number1447638341
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Blackstone — Managing Member · (910) 202-8020
NPI enumeratedMay 12, 2015
Last updated in NPPESMay 12, 2015
Mailing address3505 Converse Dr, Suite 200, Wilmington, NC 28403-6131

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