Organization Active NPI

Coastal Kids Endocrinology and Weight Management LLC

  • Pediatric Endocrinology Physician
  • Gulf Breeze, FL
National Provider Identifier
1093652695
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
Legal business name
COASTAL KIDS ENDOCRINOLOGY AND WEIGHT MANAGEMENT LLC
Practice address
400 Gulf Breeze Pkwy Ste 300
Gulf Breeze, FL 32561-4458
Phone
(850) 203-6654
Fax
(850) 999-7669
NPI assigned
May 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Martina Drawdy, MD
Title
President
Phone
(802) 735-3429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0205X Primary

Addresses

Primary practice location

400 Gulf Breeze Pkwy Ste 300
Gulf Breeze, FL 32561-4458

Mailing address

400 Gulf Breeze Pkwy Ste 300
Gulf Breeze, FL 32561-4458
Phone (850) 203-6654

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1777593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1093652695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GULF BREEZE PKWY STE 300",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614458",
            "telephone_number": "850-203-6654",
            "fax_number": "850-999-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GULF BREEZE PKWY STE 300",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614458",
            "telephone_number": "850-203-6654",
            "fax_number": "850-999-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL KIDS ENDOCRINOLOGY AND WEIGHT MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "DRAWDY",
        "authorized_official_first_name": "MARTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-735-3429",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.