COASTAL CHRONIC PAIN SERVICES, PLLC
NPI 1134214331
Anesthesiology - Pain Medicine in Gulfport, MS
- Organization
- Anesthesiology
- Pain Medicine
- CLIA Number: 25D2000383
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-29-2027
About COASTAL CHRONIC PAIN SERVICES, PLLC
This page provides the complete NPI Profile along with additional information for Coastal Chronic Pain Services, Pllc, a provider established in Gulfport, Mississippi operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1134214331 assigned on October 2006. The practitioner's primary taxonomy code is 207LP2900X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Diane Schultz (Director)
- NPI
- 1134214331 Verify this NPI
- Provider Name
- COASTAL CHRONIC PAIN SERVICES, PLLC
- Entity Type
- Organization
- Location Address
- 15190 COMMUNITY RD STE 230B GULFPORT, MS 39503
- Location Phone
- (228) 831-0050
- Location Fax
- (228) 831-1121
- Mailing Address
- 15190 COMMUNITY RD STE 230B GULFPORT, MS 39503
- Mailing Phone
- (228) 831-0050
- Mailing Fax
- (228) 831-1121
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-04-2006
- Last Update Date
- 11-09-2018
- Code Navigator
Location Map
Secondary Locations
- 3017 13th St
Gulfport, MS 39501
(228) 831-9343
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Anesthesiology Pain Medicine
- Taxonomy Code
- 207LP2900X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D2000383
- Facility Type
- Physician Office
- Certificate Effective Date
- November 30, 2025
- Certificate Expiration Date
- November 29, 2027
- Laboratory Director
- DR. BRIAN R. DIX
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Coastal Chronic Pain Services, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134214331, enumerated as an "organization" on October 04, 2006.
The provider is located at 15190 COMMUNITY RD STE 230B GULFPORT, MS 39503 and the phone number is (228) 831-0050.
Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.
