Individual provider Active NPI

Gregory Coates, M.D.

  • Obstetrics & Gynecology Physician
  • Crestview, FL
National Provider Identifier
1033320312
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME110266 Issued in FL
Practice address
550 Redstone Ave W
Suite 470
Crestview, FL 32536-6428
Phone
(850) 689-2229
Fax
(850) 689-2580
NPI assigned
May 25, 2007
Last updated
Sep 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X ME110266 FL Primary

Addresses

Primary practice location

550 Redstone Ave W
Suite 470
Crestview, FL 32536-6428

Mailing address

550 Redstone Ave W
Suite 470
Crestview, FL 32536-6428
Phone (850) 689-2229

Other identifiers 1

IdentifierTypeStateIssuer
50981MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gregory.coates.1@1523.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110830000640 FL Practitioner - Obstetrics/Gynecology 6800066887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Okaloosa Clinic CorpGroup PAC ID 0244205565, 27 clinicians

Practice addresses (Care Compare)

151 E Redstone Ave
Crestview, FL 32539-5352
Phone (850) 689-8100

524 W James Lee Blvd
Crestview, FL 32536-5129
Phone (850) 398-8725

550 Redstone Ave W
Suite 490
Crestview, FL 32536-6457
Phone (850) 689-8321

550 Redstone W Ave
Crestview, FL 32536-6457

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Okaloosa Clinic Corp CurrentSince Aug 1, 2011 Accepting new patients
North Okaloosa Clinic Corp Obstetrics & Gynecology CurrentSince Aug 1, 2011 Accepting new patients

Locations

400 Redstone Ave W
Crestview, FL 32536
Phone (850) 683-1555

550 Redstone Ave W
Ste 470
Crestview, FL 32536
Phone (850) 689-2223

1507 Merchants Way
Ste A
Niceville, FL 32578
Phone (850) 897-3600

330 Franklin Rd
Ste 135A
Brentwood, TN 37027
Phone (615) 727-0177

Interoperability endpoints

  • Direct secure messaging: coatesg@yourcarecommunity.org
  • Direct secure messaging: gregory.coates.1@1523.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1033320312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 REDSTONE AVE W",
            "address_2": "SUITE 470",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325366428",
            "telephone_number": "850-689-2229",
            "fax_number": "850-689-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 REDSTONE AVE W",
            "address_2": "SUITE 470",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325366428",
            "telephone_number": "850-689-2229",
            "fax_number": "850-689-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATES",
        "first_name": "GREGORY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME110266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50981",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gregory.coates.1@1523.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR  direct address",
            "address_1": "550 Redstone Ave W",
            "address_2": "Suite 470",
            "city": "Crestview",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325366428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.