Coastal Family Health Center, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

COASTAL FAMILY HEALTH CENTER, INC

Doing business as

Coastal Family Health Center, Inc Rocky Creek Elementary

Practice address

2183 Rocky Creek Rd
Lucedale, MS 39452-6338

Phone

(228) 374-2494

NPI assigned

Apr 8, 2025

Last updated

Apr 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angelique S Greer

Title

Ceo

Phone

(228) 374-2494

Specialties & licenses 1

Addresses

Other names 1

• Coastal Family Health Center, Inc Rocky Creek Elementary Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982498481. Details of each certification follow.

• CCN 251169 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 251169

Legal name

COASTAL FAMILY HEALTH CENTER, INC

Doing business as

COASTAL FAMILY HEALTH CENTER INC - ROCKY CREEK ELEMENTARY

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Aug 12, 2025

Last certification

Aug 12, 2025

Ownership / control type

For profit – corporation

Organization structure

OtherNon-profit

Enrollment address

2183 Rocky Creek Rd
Lucedale, MS 39452-6338

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

CLIA laboratory certificates

Tax ID family

Coastal Family Health C54 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Coastal Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Leakesville, MS
  • NPI 1801999479
  NPD tax ID
• Coastal Family Health Center Inc

  dba Coastal Family Health Center, Inc - Saucier Health Center

  • Federally Qualified Health Center (FQHC)
  • Saucier, MS
  • NPI 1942298195
  NPD tax ID
• Coastal Family Health Center, Inc

  dba Coastal Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Biloxi, MS
  • NPI 1821086083
  NPD tax ID
• Coastal Family Health Center, Inc

  dba Coastal Family Health Center, Inc - East Hancock Elementary School Cl

  • Federally Qualified Health Center (FQHC)
  • Kiln, MS
  • NPI 1831970144
  NPD tax ID
• Coastal Family Health Center, Inc

  dba Coastal Family Health Center Convenient Care

  • Federally Qualified Health Center (FQHC)
  • Moss Point, MS
  • NPI 1841167194
  NPD tax ID
• Coastal Family Health Center, Inc

  dba Coastal Family Health Center, Inc - St Martin High School Clinic

  • Federally Qualified Health Center (FQHC)
  • Ocean Springs, MS
  • NPI 1841890399
  NPD tax ID
• Coastal Family Health Center, Inc

  dba Coastal Family Health Center, Inc - Lucedale Clinic

  • Federally Qualified Health Center (FQHC)
  • Lucedale, MS
  • NPI 1861950982
  NPD tax ID
• Coastal Family Health Center, Inc

  dba Coastal Family Health Center, Inc - Vancleave High School Clinic

  • Federally Qualified Health Center (FQHC)
  • Vancleave, MS
  • NPI 1871193722
  NPD tax ID
• Coastal Family Health Center, Inc

  dba Coastal Family Health Center, Inc - Vancleave Upper Elementary Clinic

  • Federally Qualified Health Center (FQHC)
  • Vancleave, MS
  • NPI 1871250993
  NPD tax ID
• Coastal Family Health Center, Inc

  dba Coastal Family Health Center, Inc George County High School

  • Federally Qualified Health Center (FQHC)
  • Lucedale, MS
  • NPI 1871387373
  NPD tax ID
• Coastal Family Health Center, Inc

  dba Coastal Family Health Center, Inc - East Central High School Clinic

  • Federally Qualified Health Center (FQHC)
  • Moss Point, MS
  • NPI 1992305445
  NPD tax ID
• Coastal Family Health Center, Inc

  dba Coastal Family Health Center, Inc - Hancock High School Clinic

  • Federally Qualified Health Center (FQHC)
  • Kiln, MS
  • NPI 1992586200
  NPD tax ID

Locations

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1982498481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10467 CORPORATE DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034634",
            "telephone_number": "228-374-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2183 ROCKY CREEK RD",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526338",
            "telephone_number": "228-374-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL FAMILY HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "ANGELIQUE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "228-374-2494"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Family Health Center, Inc Rocky Creek Elementary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coastal Family Health Center, Inc (Coastal Family Health Center, Inc Central Elementary)
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• Coastal Family Health Center, Inc (Coastal Family Health Center, Inc LC Hatcher Elementary)
• Coastal Family Health Center, Inc (Coastal Family Health Center, Inc - Lucedale Clinic)
• Coastal Family Health Center, Inc (Coastal Family Health Center, Inc George County High School)
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• Federally Qualified Health Center (FQHC) in Lucedale, MS
• Providers in Lucedale, MS by specialty
• Federally Qualified Health Center (FQHC) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.