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Coastal Southeastern Family Practice, Pllc

Family Nurse Practitioner in Pembroke, NC · enumerated 2011 · authorized official Katara Chavis, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699067488

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Registry record

Entity type Organization (Type 2)
Legal business name Coastal Southeastern Family Practice, Pllc
Practice address 205 W 3rd St, Pembroke, NC, 28372
Phone (910) 521-0099
Fax (910) 521-0088
Enumeration date May 11, 2011
Last updated in NPPES Mar 7, 2017

Taxonomy & classification

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 5005148 (NC) Primary

Authorized official

Name Katara Chavis
Title President
Phone (910) 521-0099

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Coastal Southeastern Family Practice, Pllc located?
The practice location on file with NPPES is in Pembroke, NC.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-03-07. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-03-07.