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PRIMARY CARE
NPI 1083098388
Clinic/Center - Primary Care in Perry, FL

Active since July 16, 2015CLIA 10D2088122 · Waiver
1706 S JEFFERSON ST, PERRY, FL 32348(850) 584-6000(850) 584-6001 Get Directions Write a Review

NPPES record last updated: July 16, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Primary Care NPPES

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

PRIMARY CARE (NPI 1083098388) is a healthcare organization registered as a primary care in Perry, Florida and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through December 10, 2026 and lists Ronald Emerick, Co-owner, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1083098388
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCOASTAL COMPLETE CARE
Location Address1706 S JEFFERSON STPerry, FL 32348-5611
Mailing Address100 Plantation RdPerry, FL 32348-6000 · (850) 584-6000 · Fax (850) 584-6001
Phone(850) 584-6000
Fax(850) 584-6001
Organization SubpartYes
Authorized OfficialRonald EmerickCo-owner, Medical Director · (850) 584-6000
Enumeration DateJuly 16, 2015
✔ NPI 1083098388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in FL · OS9746
1706 S JEFFERSON ST, Perry, FL 32348
Open in Google Maps ↗

Other Names 1

Other NamePrimary Care

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).Insurance ›

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 of Waiver 10D2088122

Coastal Complete Care · Perry, FL
Active · expires Dec 10, 2026
CLIA Number10D2088122
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2024
Certificate Expiration DateDecember 10, 2026
Laboratory DirectorDiane Dodgen
Laboratory Phone(850) 584-6000
Laboratory LocationCoastal Complete Care100 Plantation Rd, Perry, FL 32348
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

DOCTORS MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
1706 S JEFFERSON ST
PERRY, FL 32348
Taylor County (850) 838-2121
DAWNA M HASWELL LCSW
Social Worker (Clinical)
1706 S JEFFERSON ST
PERRY, FL 32348
Taylor County (850) 329-5776
A NEW DAWN, A NEW BEGINNING, INC
Community/Behavioral Health
1706 S JEFFERSON ST
PERRY, FL 32348
Taylor County (850) 329-5776
OLIVIA HOWARD LCSW
Social Worker (Clinical)
1706 S JEFFERSON ST
PERRY, FL 32348
Taylor County (850) 329-5776
SAMANTHA K ANDREWS LMHC
Counselor (Mental Health)
1706 S JEFFERSON ST
PERRY, FL 32348
Taylor County (850) 270-2360
ANNIE DAY
Counselor (Professional)
1706 S JEFFERSON ST
PERRY, FL 32348
Taylor County (850) 757-1869

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 Complete Care's NPI number?

The NPI number for Coastal Complete Care is 1083098388. It was assigned to this organization in the NPPES registry on July 16, 2015. The provider is also known as Primary Care.

Where is Coastal Complete Care located?

Coastal Complete Care is located at 1706 S Jefferson St, Perry, FL 32348. The listed phone number is (850) 584-6000.

What is Coastal Complete Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Coastal Complete Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2088122) is associated with this NPI, valid through December 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coastal Complete Care accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Coastal Complete Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coastal Complete Care was last updated on July 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.