Active NPI
Coastal DME, LLC
- Durable Medical Equipment & Medical Supplies
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- COASTAL DME, LLC
- Practice address
- 231 Southwood Dr
Panama City, FL 32405-4905 - Phone
- (850) 481-1117
- Fax
- (850) 373-4858
- NPI assigned
- Dec 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jordan Lance
- Title
- Ceo
- Phone
- (850) 481-1117
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
231 Southwood Dr
Panama City, FL 32405-4905
Mailing address
7113 Lagoon Dr
Panama City Beach, FL 32408-5509
Phone (850) 481-1117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260622000421 | FL | DME Supplier - Medical Supply Company | 7517430655 | Practice locations: Panama City, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Coastal DME, LLC | Surgical Dressings|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
231 Southwood Dr
Panama City, FL 32405
Phone (850) 481-1117
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Panama City, FL
- NPI 1154157287
-
- Occupational Therapist
- Navarre, FL
- NPI 1366060782
-
- Physical Therapist
- Panama City Beach, FL
- NPI 1053543637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765411200000",
"number": "1841154150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7113 LAGOON DR",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "324085509",
"telephone_number": "850-481-1117",
"fax_number": "850-373-4858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 SOUTHWOOD DR",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054905",
"telephone_number": "850-481-1117",
"fax_number": "850-373-4858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL DME, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-11",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A",
"authorized_official_last_name": "LANCE",
"authorized_official_first_name": "JORDAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "850-481-1117"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.