Coastal Family Practice & Acute Care Center LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

COASTAL FAMILY PRACTICE & ACUTE CARE CENTER LLC

Practice address

9961 E County Highway 30a
Suite #5
Panama City Beach, FL 32413-7282

Phone

(850) 231-9286

Fax

(850) 231-9287

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. William Robert Marshall

Title

Billing Manager

Phone

(850) 231-9286

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Carmel Dillard Hawkins, ARNP FNP-BC

  • Family Nurse Practitioner
  • Panama City Beach, FL
  • NPI 1114099660
  Medicare reassignment Care Compare group NPD
• Amanda Shianne Thompson, PA-C

  • Physician Assistant
  • Panama City Beach, FL
  • NPI 1649459736
  Medicare reassignment Care Compare group
• Lisa W Myers, NP-C

  • Family Nurse Practitioner
  • Seacrest, FL
  • NPI 1326171042
  NPD

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1639223886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9961 E COUNTY HIGHWAY 30A",
            "address_2": "SUITE #5",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324137282",
            "telephone_number": "850-231-9286",
            "fax_number": "850-231-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9961 E COUNTY HIGHWAY 30A",
            "address_2": "SUITE #5",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324137282",
            "telephone_number": "850-231-9286",
            "fax_number": "850-231-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL FAMILY PRACTICE & ACUTE CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "850-231-9286",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Christensen, MPT
• Jessica Lynn Clark, MD
• Suzanne Clark, LCSW
• Payson Elizabeth Clifford
• Coastal Counseling PCB, LLC
• Coastal Internal Medicine, LLC
• Coastal Tides Surgical Center, LLC
• Jennifer Lynne Coleman, FNP
• Carol J. Collins, RPH
• Comfortable Care Dental Health Professionals, P.a.

• Primary Care Clinic/Center in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.