Organization Active NPI

Coastal Premier Medical Care LLC

  • Physician Assistant
  • Marco Island, FL
National Provider Identifier
1356924740
Registry record updated Nov 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
COASTAL PREMIER MEDICAL CARE LLC
Practice address
1762 Hummingbird CT
Marco Island, FL 34145-4108
Phone
(239) 316-3323
NPI assigned
May 3, 2021
Last updated
Nov 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2026

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

Authorized official

Name
Laura L JonesNPI 1902113202
Title
Owner
Phone
(614) 738-2161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

1762 Hummingbird CT
Marco Island, FL 34145-4108

Mailing address

340 Tamiami TRL N
PMB 162
Naples, FL 34102-5803
Phone (239) 316-3323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210604002535 FL Part B Supplier - Clinic/Group Practice 0941609325 Receives reassigned benefits from 9 practitioners
Practice locations: Naples, FL; Pinellas Park, FL; Safety Harbor, FL; St Petersburg, FL; Largo, FL; Cape Coral, FL; Clearwater, FL; Dunedin, FL…

National Provider Directory

National Provider Directory

Locations

541 Park St
Dunedin, FL 34698
Phone (727) 418-2567

8351 College Pkwy
Fort Myers, FL 33919
Phone (239) 201-2252

340 Tamiami Trl N
Naples, FL 34102

7901 Radio Rd
Naples, FL 34104
Phone (239) 259-0700

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793923200000",
    "number": "1356924740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 TAMIAMI TRL N",
            "address_2": "PMB 162",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025803",
            "telephone_number": "239-316-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 HUMMINGBIRD CT",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341454108",
            "telephone_number": "239-316-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PREMIER MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2026-11-06",
        "certification_date": "2026-11-06",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-738-2161"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marco Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.