Organization Active NPI

Coastal Transitional Care, LLC

  • Medical Physician Assistant
  • Jacksonville, FL
National Provider Identifier
1134042948
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

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.

Verify at the official NPI Registry.