NPIMap

Organization Active NPI

Coastal Neurological Institute P.C.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Mobile, AL
National Provider Identifier
1740212174
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
20439 Issued in AL
Legal business name
COASTAL NEUROLOGICAL INSTITUTE P.C.
Practice address
3280 Dauphin St
Suite a
Mobile, AL 36606-4060
Phone
(251) 450-3700
Fax
(251) 662-3819
NPI assigned
Jul 7, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. William B Faircloth, M.D.NPI 1932100112
Title
President
Phone
(251) 450-3700

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 16395 AL
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 20439 AL Primary

Addresses

Primary practice location

3280 Dauphin St
Suite a
Mobile, AL 36606-4060

Mailing address

3280 Dauphin St
Suite a
Mobile, AL 36606-4060
Phone (251) 450-3700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050609000711 AL Part B Supplier - Clinic/Group Practice 4688617699 Receives reassigned benefits from 37 practitioners
Practice locations: Mobile, AL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D1084099Coastal Neurological Institute PC3280 Dauphin Street Suite a, Mobile, AL 36606Certificate of waiverMay 15, 2028

National Provider Directory

National Provider Directory

Locations

909 Plantation Blvd
Fairhope, AL 36532
Phone (251) 280-1211

3280 Dauphin St
#A
Mobile, AL 36606

3280 Dauphin St
Ste A
Mobile, AL 36606
Phone (251) 450-3700

30762 State Highway 181
Spanish Fort, AL 36527
Phone (251) 444-1999

Dept AT 952614
Atlanta, GA 31192

Practitioners & affiliated clinicians

Practitioners 41

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.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1740212174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 DAUPHIN ST",
            "address_2": "SUITE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064060",
            "telephone_number": "251-450-3700",
            "fax_number": "251-662-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 DAUPHIN ST",
            "address_2": "SUITE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064060",
            "telephone_number": "251-450-3700",
            "fax_number": "251-662-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL NEUROLOGICAL INSTITUTE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FAIRCLOTH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-450-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AL",
            "license": "16395",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AL",
            "license": "20439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.