Active NPI
Coastal Transitional Care, LLC
- Medical Physician Assistant
- Jacksonville, FL
National Provider Identifier
1134042948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Legal business name
- COASTAL TRANSITIONAL CARE, LLC
- Practice address
- 1425 Quinlan Rd E
Jacksonville, FL 32225-2630 - Phone
- (904) 962-8714
- NPI assigned
- Jul 30, 2026
- Last updated
- Jul 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jesse McDonald, PA-C
- Title
- PA-C
- Phone
- (904) 962-8714
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
1425 Quinlan Rd E
Jacksonville, FL 32225-2630
Mailing address
1425 Quinlan Rd E
Jacksonville, FL 32225-2630
Phone (904) 962-8714
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physician Assistant
- Jacksonville, FL
- NPI 1275044596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785369600000",
"number": "1134042948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 QUINLAN RD E",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322252630",
"telephone_number": "904-962-8714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 QUINLAN RD E",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322252630",
"telephone_number": "904-962-8714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL TRANSITIONAL CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-30",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "JESSE",
"authorized_official_title_or_position": "PA-C",
"authorized_official_telephone_number": "904-962-8714",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.