Organization Active NPI

Coastal DME, LLC

  • Durable Medical Equipment & Medical Supplies
  • Panama City, FL
National Provider Identifier
1841154150
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Jordan LanceNPI 1154157287
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20260622000421 FL DME Supplier - Medical Supply Company 7517430655 Practice locations: Panama City, FL

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Coastal DME, LLC231 Southwood Dr, Panama City, FL 32405-4905(850) 481-1117 Surgical Dressings|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jun 22, 2026

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.