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COASTAL CHRONIC PAIN SERVICES, PLLC
NPI 1134214331
Anesthesiology - Pain Medicine in Gulfport, MS

Active since October 04, 2006CLIA 25D2000383 · Waiver
15190 COMMUNITY RD STE 230B, GULFPORT, MS 39503(228) 831-0050(228) 831-1121 Get Directions Write a Review

NPPES record last updated: November 9, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Coastal Chronic Pain Services, Pllc NPPES

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

COASTAL CHRONIC PAIN SERVICES, PLLC (NPI 1134214331) is a healthcare organization registered as a pain medicine in Gulfport, Mississippi and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through November 29, 2027, maintains a secondary practice location in Gulfport, and lists Diane Schultz, Director, as its authorized official.

NPPES Registry Identity

NPI1134214331
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameCOASTAL CHRONIC PAIN SERVICES, PLLC
Location Address15190 COMMUNITY RD STE 230BGulfport, MS 39503-3483
Mailing Address15190 Community Rd Ste 230bGulfport, MS 39503-3483 · (228) 831-0050 · Fax (228) 831-1121
Phone(228) 831-0050
Fax(228) 831-1121
Organization SubpartYesParent: Gulfport Anesthesia Services, P.a.
Authorized OfficialDiane SchultzDirector · (228) 831-0204
Enumeration DateOctober 4, 2006
Last NPPES UpdateNovember 9, 2018
✔ NPI 1134214331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
15190 COMMUNITY RD STE 230B, Gulfport, MS 39503
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Secondary Practice Location 1

Location 13017 13th StGulfport, MS 39501-1833 · Phone (228) 831-9343

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 25D2000383

Coastal Chronic Pain Service PLLC · Gulfport, MS
Active · expires Nov 29, 2027
CLIA Number25D2000383
Laboratory TypePhysician Office
Certificate Effective DateNovember 30, 2025
Certificate Expiration DateNovember 29, 2027
Laboratory DirectorDr. Brian R. Dix
Laboratory Phone(228) 831-9343
Laboratory LocationCoastal Chronic Pain Service PLLC3017 13th St, Gulfport, MS 39501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Chronic Pain Services, PLLC's NPI number?

The NPI number for Coastal Chronic Pain Services, PLLC is 1134214331. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Coastal Chronic Pain Services, PLLC located?

Coastal Chronic Pain Services, PLLC is located at 15190 Community Rd Ste 230B, Gulfport, MS 39503. The listed phone number is (228) 831-0050.

What is Coastal Chronic Pain Services, PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Does Coastal Chronic Pain Services, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2000383) is associated with this NPI, valid through November 29, 2027. 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 Chronic Pain Services, PLLC was last updated on November 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.