COASTAL FAMILY HEALTH CENTER
NPI 1124016209
Clinic/Center - Federally Qualified Health Center (FQHC) in Bay St Louis, MS

Active since October 12, 2005CLIA 25D0948437 · Microscopy
109 HOSPITAL DR, BAY ST LOUIS, MS 39520(228) 463-9666(228) 374-0856 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Coastal Family Health Center NPPES

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

COASTAL FAMILY HEALTH CENTER (NPI 1124016209) is a healthcare organization registered as a federally qualified health center (fqhc) in Bay St Louis, Mississippi and active in the NPI registry since October 2005. The organization holds a CLIA Microscopy certificate valid through June 8, 2028 and lists Angelique S Greer, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124016209
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOASTAL FAMILY HEALTH CENTER, INC
Location Address109 HOSPITAL DRBay St Louis, MS 39520-1604
Mailing Address10467 Corporate DrGulfport, MS 39503-4634 · (228) 374-2494 · Fax (228) 396-3457
Fax(228) 374-0856
Organization SubpartNo
Authorized OfficialAngelique S GreerCeo · (228) 374-2494
Enumeration DateOctober 12, 2005
Last NPPES UpdateAugust 16, 2024
NPPES CertifiedAugust 16, 2024
✔ NPI 1124016209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
109 HOSPITAL DR, Bay St Louis, MS 39520

Other Names 1

Doing Business AsCoastal Family Health Center

Other Identifiers 2

OtherC00895MS · Medicare/cahaba
Medicaid9014820MS

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coastal Family Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

90

Medicare enrollment records show 90 clinicians reassign Medicare billing to Coastal Family Health Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner59
Mental Health Counselor5
Pediatric Medicine5
Clinical Social Worker4
Dentist4
Family Practice4
Obstetrics/Gynecology4
Internal Medicine3
2 other specialties2

Nearest to this location (20)

See all 90
Nurse Practitioner
NPI 1235902859
109 HOSPITAL DR
Bay St Louis, MS 39520
(228) 463-9666
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801167671
109 HOSPITAL DR
Bay Saint Louis, MS 39520
(228) 374-2494
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1396712915
109 HOSPITAL DR
Bay St Louis, MS 39520
(228) 463-9666
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1225521982
1687 FIRETOWER RD
Kiln, MS 39556
(228) 229-7698
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1730642166
523 ARBOR STATION DR
Long Beach, MS 39560
(228) 860-4502
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1386883791
5501 MARVIN SHIELDS BLVD BLDG 472
Gulfport, MS 39501
(228) 871-4033
✔ PECOS14 mi
Obstetrics/Gynecology
NPI 1558460162
4577 13TH ST
Gulfport, MS 39501
(228) 864-2752
✔ PECOS✔ Accepts Medicare15 mi
Internal Medicine
NPI 1851304026
1110 BROAD AVE STE 700
Gulfport, MS 39501
(228) 864-0314
✔ PECOS15 mi
Nurse Practitioner
NPI 1871132076
2070 30TH ST
Gulfport, MS 39501
(228) 369-8956
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1477010866
15024 MARTIN LUTHER KING JR BLVD
Gulfport, MS 39501
(228) 864-0003
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1265960553
15024 MARTIN LUTHER KING JR BLVD
Gulfport, MS 39501
(228) 864-0003
✔ PECOS✔ Accepts Medicare17 mi
Clinical Social Worker
NPI 1477044071
15024 MARTIN LUTHER KING JR BLVD
Gulfport, MS 39501
(228) 864-0003
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1134703374
15024 MARTIN LUTHER KING JR BLVD
Gulfport, MS 39501
(228) 864-0003
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1336565431
15024 MARTIN LUTHER KING JR BLVD
Gulfport, MS 39501
(205) 783-7970
✔ PECOS✔ Accepts Medicare17 mi
Pediatric Medicine
NPI 1568041804
15024 MARTIN LUTHER KING JR BLVD
Gulfport, MS 39501
(228) 864-0003
✔ PECOS17 mi
Internal Medicine
NPI 1194352377
15024 MARTIN LUTHER KING JR BLVD
Gulfport, MS 39501
(228) 374-2494
✔ PECOS✔ Accepts Medicare17 mi
Pediatric Medicine
NPI 1083714612
15024 MARTIN LUTHER KING JR BLVD
Gulfport, MS 39501
(228) 864-0003
✔ PECOS17 mi
Pediatric Medicine
NPI 1467446963
15190 COMMUNITY RD SUITE 270
Gulfport, MS 39503
(228) 328-1401
✔ PECOS18 mi
Mental Health Counselor
NPI 1740329200
4111 FRANKLIN AVE
Gulfport, MS 39507
(228) 313-4441
✔ PECOS19 mi
Mental Health Counselor
NPI 1861968182
302 COURTHOUSE RD STE G
Gulfport, MS 39507
(228) 897-7465
✔ PECOS✔ Accepts Medicare19 mi
See all 90 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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) 25D0948437

Coastal Family Health Center-Bay St Louis · Bay St Louis, MS
Active · expires Jun 8, 2028
CLIA Number25D0948437
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 9, 2026
Certificate Expiration DateJune 8, 2028
Laboratory DirectorAbigail Lafleur
Laboratory Phone(228) 463-9666
Laboratory LocationCoastal Family Health Center-Bay St Louis109 Hospital Drive, Bay St Louis, MS 39520
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.

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 1124016209. It was assigned to this organization in the NPPES registry on October 12, 2005. The provider is doing business as Coastal Family Health Center.

Where is Coastal Family Health Center, Inc located?

Coastal Family Health Center, Inc is located at 109 Hospital Dr, Bay St Louis, MS 39520. The listed phone number is (228) 463-9666.

What is Coastal Family Health Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Coastal Family Health Center, Inc enrolled in Medicare?

Yes. Coastal Family Health Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Family Health Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 90 clinicians in 10 Medicare specialties reassign their Medicare billing to Coastal Family Health Center, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (59), Mental Health Counselor (5) and Pediatric Medicine (5). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 25D0948437) is associated with this NPI, valid through June 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coastal Family Health Center, Inc accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Coastal Family Health Center, Inc 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 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 2 years 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.