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COASTAL FAMILY HEALTH CENTER INC
NPI 1033107289
Clinic/Center - Community Health in Gulfport, MS

Active since October 12, 2005CLIA 25D0319607 · Microscopy
15024 MARTIN LUTHER KING JR BLVD, GULFPORT, MS 39501(228) 864-0003(228) 374-0856 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Coastal Family Health Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL FAMILY HEALTH CENTER INC (NPI 1033107289), doing business as Coastal Family Health Center, is a healthcare organization registered as a community health in Gulfport, Mississippi and active in the NPI registry since October 2005. The organization holds a CLIA Microscopy certificate valid through May 18, 2028 and lists Angelique S Greer, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033107289
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameCOASTAL FAMILY HEALTH CENTER INC
Location Address15024 MARTIN LUTHER KING JR BLVDGulfport, MS 39501-8306
Mailing Address10467 Corporate DrGulfport, MS 39503-4634 · (228) 374-2494 · Fax (228) 396-3457
Phone(228) 864-0003
Fax(228) 374-0856
Organization SubpartNo
Authorized OfficialAngelique S GreerCeo · (228) 374-2494
Enumeration DateOctober 12, 2005
Last NPPES UpdateAugust 16, 20242 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
✔ NPI 1033107289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
15024 MARTIN LUTHER KING JR BLVD, Gulfport, MS 39501
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Other Names 1

Former Legal Business NameCoastal Family Health Center

Other Identifiers 1

Medicaid9013184MS

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 25D0319607

Coastal Family Health Center-Gulfport · Gulfport, MS
Active · expires May 18, 2028
CLIA Number25D0319607
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 19, 2026
Certificate Expiration DateMay 18, 2028
Laboratory DirectorSafia Mohiuddin
Laboratory Phone(228) 864-0003
Laboratory LocationCoastal Family Health Center-Gulfport15024 Martin Luther King Jr Boulevard, Gulfport, MS 39501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONETTE SCOTT M.D.
Pediatrics
15024 MARTIN LUTHER KING JR BLVD
GULFPORT, MS 39501
Harrison County (228) 864-0003
COASTAL FAMILY HEALTH CENTER
Clinic/Center (Dental)
15024 MARTIN LUTHER KING JR BLVD
GULFPORT, MS 39501
Harrison County (228) 863-9781
MRS. TIFFANIE MARIE FERRY FNP-C
Nurse Practitioner (Family)
15024 MARTIN LUTHER KING JR BLVD
GULFPORT, MS 39501
Harrison County (228) 864-0003
LUELLA A WILLIAMS CFNP
Nurse Practitioner (Family)
15024 MARTIN LUTHER KING JR BLVD
GULFPORT, MS 39501
Harrison County (228) 864-0003
PAUL J ROUSE DMD
Dentist
15024 MARTIN LUTHER KING JR BLVD
GULFPORT, MS 39501
Harrison County (228) 863-9781
SAFIA MOHIUDDIN MD
Preventive Medicine (Public Health & General Preventive Medicine)
15024 MARTIN LUTHER KING JR BLVD
GULFPORT, MS 39501
Harrison County (228) 374-2494
MRS. REBEKAH FAITH DANIELS WHNP-BC
Nurse Practitioner (Women's Health)
15024 MARTIN LUTHER KING JR BLVD
GULFPORT, MS 39501
Harrison County (228) 864-0003
TIMOTHY CHAD FRYE CRNP
Nurse Practitioner (Family)
15024 MARTIN LUTHER KING JR BLVD
GULFPORT, MS 39501
Harrison County (205) 783-7970

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Family Health Center Inc's NPI number?

The NPI number for Coastal Family Health Center Inc is 1033107289. It was assigned to this organization in the NPPES registry on October 12, 2005. The provider was formerly known as Coastal Family Health Center.

Where is Coastal Family Health Center Inc located?

Coastal Family Health Center Inc is located at 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501. The listed phone number is (228) 864-0003.

What is Coastal Family Health Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Coastal Family Health Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 25D0319607) is associated with this NPI, valid through May 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coastal Family Health Center Inc was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.