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

NPI Status: Active since October 04, 2006

Contact Information

15190 COMMUNITY RD STE 230B
GULFPORT, MS
ZIP 39503
Phone: (228) 831-0050
Fax: (228) 831-1121

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  • 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
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
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DIANE SCHULTZ

Authorized Official Title
DIRECTOR
Authorized Official Phone
(228) 831-0204

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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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1134214331, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 2 → 4 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 6 + 4 + 4 + 1 + 8 + 3 + 6 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1134214331.

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.