Active NPI
Coastal Care Health System, Inc.
- Urgent Care Clinic/Center
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- COASTAL CARE HEALTH SYSTEM, INC.
- Practice address
- 8291 Dani Dr Ste 100
Fort Myers, FL 33966-8021 - Phone
- (239) 931-6049
- Fax
- (239) 931-4986
- NPI assigned
- Jun 6, 2019
- 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
- Angelia Sakyi-Agyekum, PA
- Title
- Owner and Ao
- Phone
- (904) 437-1529
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 |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
8291 Dani Dr Ste 100
Fort Myers, FL 33966-8021
Mailing address
8291 Dani Dr Ste 101a
Fort Myers, FL 33966-8009
Phone (239) 931-6049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190906001459 | FL | Part B Supplier - Clinic/Group Practice | 3971832551 |
Receives reassigned benefits from 6 practitioners Practice locations: Fort Myers, FL |
National Provider Directory
National Provider DirectoryLocations
8291 Dani Dr
Ste 101A
Fort Myers, FL 33966
Phone (239) 931-6049
18070 S Tamiami Trl
Ste 108
Fort Myers, FL 33908
Phone (239) 931-6049
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1265454920
Family Medicine, FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690156800000",
"number": "1851950661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8291 DANI DR STE 101A",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339668009",
"telephone_number": "239-931-6049",
"fax_number": "239-931-4986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8291 DANI DR STE 100",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339668021",
"telephone_number": "239-931-6049",
"fax_number": "239-931-4986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL CARE HEALTH SYSTEM, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-06",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A",
"authorized_official_last_name": "SAKYI-AGYEKUM",
"authorized_official_first_name": "ANGELIA",
"authorized_official_title_or_position": "OWNER AND AO",
"authorized_official_telephone_number": "904-437-1529",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.