COASTAL WOUND SPECIALISTS LLC
NPI 1336014612
Emergency Medicine - Undersea and Hyperbaric Medicine in Gulfport, MS

Active since October 07, 2025
4500 13TH ST, GULFPORT, MS 39501(228) 865-1330(228) 865-1331 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Coastal Wound Specialists Llc NPPES

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

COASTAL WOUND SPECIALISTS LLC (NPI 1336014612) is a healthcare organization registered as an undersea and hyperbaric medicine in Gulfport, Mississippi and active in the NPI registry since October 2025. The organization lists Brett Kathmann, Owner, as its authorized official.

NPPES Registry Identity

NPI1336014612
Entity TypeOrganization
Primary Taxonomy207PE0005X
Legal Business NameCOASTAL WOUND SPECIALISTS LLC
Location Address4500 13TH STGulfport, MS 39501-2515
Mailing AddressPo Box 6266Gulfport, MS 39506-6266 · (228) 865-1330 · Fax (228) 865-1331
Fax(228) 865-1331
Organization SubpartNo
Authorized OfficialBrett KathmannOwner · (228) 865-1330
Enumeration DateOctober 7, 2025
NPPES CertifiedOctober 7, 2025
✔ NPI 1336014612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PE0005X
Definition
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
4500 13TH ST, Gulfport, MS 39501

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

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 Wound Specialists Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Coastal Wound Specialists LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Emergency Medicine
NPI 1851666150
4500 13TH ST
Gulfport, MS 39501
(228) 493-4325
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1194920389
2500 N STATE ST
Jackson, MS 39216
(601) 984-5582
✔ PECOS✔ Accepts Medicare149 mi

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

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 Wound Specialists LLC's NPI number?

The NPI number for Coastal Wound Specialists LLC is 1336014612. It was assigned to this organization in the NPPES registry on October 7, 2025.

Where is Coastal Wound Specialists LLC located?

Coastal Wound Specialists LLC is located at 4500 13th St, Gulfport, MS 39501. The listed phone number is (228) 865-1330.

What is Coastal Wound Specialists LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 207PE0005X.

Is Coastal Wound Specialists LLC enrolled in Medicare?

Yes. Coastal Wound Specialists LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Wound Specialists LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Emergency Medicine, reassign their Medicare billing to Coastal Wound Specialists 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Coastal Wound Specialists LLC accept?

Health plans from Molina Healthcare list Coastal Wound Specialists 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 Wound Specialists LLC was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.