| Beach Primary Care and Wellness PLLC | |
|
863 Ocean Hwy W Supply NC 28462-4059 | |
| (910) 995-7022 | |
| Not Available |
| Full Name | Beach Primary Care and Wellness PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 863 Ocean Hwy W, Supply, North Carolina |
| Authorized Official Name and Position | Mary Rudd Crichton (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 9107551200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beach Primary Care and Wellness PLLC 863 Ocean Hwy W Supply NC 28462-4059 Ph: (910) 755-1200 | Beach Primary Care and Wellness PLLC 863 Ocean Hwy W Supply NC 28462-4059 Ph: (910) 995-7022 |
| NPI Number | 1053103796 |
|---|---|
| Provider Enumeration Date | 05/19/2025 |
| Last Update Date | 03/26/2026 |
| Certification Date | 03/26/2026 |
| Medicare PECOS PAC ID | 7517450745 |
|---|---|
| Medicare Enrollment ID | O20251204004691 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053103796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| Provider Name | Mary Rudd Crichton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598220907 PECOS PAC ID: 8224370994 Enrollment ID: I20251204004676 |
Holden Beach Medical Center, PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2930 Holden Beach Rd Sw, Supply, NC 28462 Phone: 910-842-5991 Fax: 910-842-5994 |
Church Family Medicine, PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Medical Campus Dr, Suite 203, Supply, NC 28462 Phone: 910-755-7181 Fax: 910-755-7194 |
Holden Beach Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2930 Holden Beach Rd, Supply, NC 28462 Phone: 910-842-5991 Fax: 910-842-5994 |
Novant Health Gastroenterology Brunswick Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13 Medical Campus, Suite 102, Supply, NC 28462 Phone: 910-754-5988 Fax: 910-754-5989 |
Brunswick Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Doctors Cir, Suite 2, Supply, NC 28462 Phone: 910-755-6802 Fax: 910-755-6804 |
Coastal Gastroenterology PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Medical Center Drive, Supply, NC 28462 Phone: 910-754-7790 Fax: 910-754-7838 |