Coastal Concierge Internal Medicine PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

COASTAL CONCIERGE INTERNAL MEDICINE PLLC

Practice address

1411 N Flagler Dr Ste 6700
West Palm Beach, FL 33401-3417

Phone

(561) 768-4018

Fax

(561) 760-4583

NPI assigned

Apr 28, 2021

Last updated

Oct 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jana L McKenzie, MDNPI 1831147578

Title

President/Owner

Phone

(561) 820-8580

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26480/brand/1/csg/1/fhir/r4
• Direct secure messaging: jana.mckenzie@336134154027012.direct.elationemr.com

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.

• Jana L McKenzie, M.D.

  • Internal Medicine Physician
  • West Palm Beach, FL
  • NPI 1831147578
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1376125302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N FLAGLER DR STE 6700",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013417",
            "telephone_number": "561-768-4018",
            "fax_number": "561-760-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N FLAGLER DR STE 6700",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013417",
            "telephone_number": "561-768-4018",
            "fax_number": "561-760-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CONCIERGE INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-10-13",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "JANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "561-820-8580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jana.Mckenzie@336134154027012.direct.elationemr.com",
            "affiliation": "N",
            "address_1": "1411 N Flagler Dr Ste 6700",
            "city": "West Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334013417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Internal Medicine Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.