Southern Coastal Aesthetics, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SOUTHERN COASTAL AESTHETICS, LLC

Practice address

350 Cypress Bend Blvd Ste 105
Gulf Shores, AL 36542-9190

Phone

(251) 255-5947

NPI assigned

Nov 20, 2025

Organization subpart

No

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

Authorized official

Name

Rachel Holub

Title

Ao

Phone

(757) 873-3500

Specialties & licenses 1

Addresses

Other names 1

• SOUTHERN COASTAL AESTHETICS Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Tax ID family

E Gaylon McCollough MD LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• E. Gaylon McCollough MD, LLC

  • Clinic/Center
  • Gulf Shores, AL
  • NPI 1043439128
  NPD tax ID
• McCollough Plastic Surgery Clinic

  • Specialist
  • Gulf Breeze, FL
  • NPI 1205046760
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carrie L Morris, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Gulf Shores, AL
  • NPI 1437294063
  Medicare reassignment NPD

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1487515318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 CYPRESS BEND BLVD STE 105",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365429190",
            "telephone_number": "251-521-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CYPRESS BEND BLVD STE 105",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365429190",
            "telephone_number": "251-255-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COASTAL AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-20",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "HOLUB",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "757-873-3500"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHERN COASTAL AESTHETICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Blake Shoemaker, PHARMD
• Emily Sikes
• Anna Kay Smith, MA, ALC
• Sarah Cathryn Snellgrove I, D.C.
• South Alabama Healthcare, LLC
• Jennifer A Spencer, FNP-BC
• Joe Neal Sprayberry, PT
• Brittany N Stanley, CRNP
• Emily Marie Steadham-Williams
• Ashton Stennis, PHARMD

• Ambulatory Surgical Clinic/Center in Gulf Shores, AL
• Providers in Gulf Shores, AL by specialty
• Ambulatory Surgical Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.