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COASTAL FAMILY PRACTICE LLC
NPI 1275552358
Family Medicine in Edgewater, FL

Active since July 19, 2006CLIA 10D0943201 · Waiver
1404 S RIDGEWOOD AVE, EDGEWATER, FL 32132(386) 426-8166(386) 426-6399 Get Directions Write a Review

NPPES record last updated: November 9, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Coastal Family Practice Llc NPPES

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

COASTAL FAMILY PRACTICE LLC (NPI 1275552358) is a healthcare organization registered as a family medicine in Edgewater, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 21, 2028 and lists Pam Lacey, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1275552358
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOASTAL FAMILY PRACTICE LLC
Location Address1404 S RIDGEWOOD AVEEdgewater, FL 32132-2720
Mailing Address1404 S Ridgewood AveEdgewater, FL 32132-2720 · (386) 426-8166 · Fax (386) 426-6399
Phone(386) 426-8166
Fax(386) 426-6399
Organization SubpartNo
Authorized OfficialPam LaceyPractice Manager · (386) 761-6044
Enumeration DateJuly 19, 2006
Last NPPES UpdateNovember 9, 2009
✔ NPI 1275552358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · L800015935
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1404 S RIDGEWOOD AVE, Edgewater, FL 32132
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue HMO (a BlueCross BlueShield FL company).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 Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Coastal Family Practice LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Margaret Chang, MD
Family Practice
NPI 1205824778
1404 S RIDGEWOOD AVE
Edgewater, FL 32132
(386) 424-5777
✔ PECOS✔ Accepts MedicareSame address
Patricia Fredette Huffman, MD
Family Practice
NPI 1275521759
1404 S RIDGEWOOD AVE
Edgewater, FL 32132
(386) 426-8166
✔ PECOS✔ Accepts MedicareSame address
Sandra Buchanan, MD
Family Practice
NPI 1003923731
1185 DUNLAWTON AVE SUITE 104
Port Orange, FL 32127
(386) 767-5477
✔ PECOS✔ Accepts Medicare12 mi

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 of Waiver 10D0943201

Coastal Family Practice · Edgewater, FL
Active · expires Apr 21, 2028
CLIA Number10D0943201
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorMargaret M. Chang
Laboratory Phone(386) 426-8166
Laboratory LocationCoastal Family Practice1404 S Ridgewood Ave, Edgewater, FL 32132
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 Family Practice LLC's NPI number?

The NPI number for Coastal Family Practice LLC is 1275552358. It was assigned to this organization in the NPPES registry on July 19, 2006.

Where is Coastal Family Practice LLC located?

Coastal Family Practice LLC is located at 1404 S Ridgewood Ave, Edgewater, FL 32132. The listed phone number is (386) 426-8166.

What is Coastal Family Practice LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Coastal Family Practice LLC enrolled in Medicare?

Yes. Coastal Family Practice LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Family Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Family Practice, reassign their Medicare billing to Coastal Family Practice LLC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Coastal Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0943201) is associated with this NPI, valid through April 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coastal Family Practice LLC accept?

Health plans from Florida Blue HMO (a BlueCross BlueShield FL company) list Coastal Family Practice LLC 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 Practice LLC was last updated on November 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.