COASTAL FAMILY HEALTH CENTER, INC - GREEN HIGH SCHOOL CLINIC
NPI 1366515470
Clinic/Center - Federally Qualified Health Center (FQHC) in Leakesville, MS
About Coastal Family Health Center, Inc - Green High School Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTAL FAMILY HEALTH CENTER, INC - GREEN HIGH SCHOOL CLINIC (NPI 1366515470) is a healthcare organization registered as a federally qualified health center (fqhc) in Leakesville, Mississippi and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through October 25, 2026 and lists Angelique Greer, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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 Family Health Center, Inc - Green High School Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
90Medicare enrollment records show 90 clinicians reassign Medicare billing to Coastal Family Health Center, Inc - Green High School Clinic, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 90Source: 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 25D2048977
Coastal Family Health Center-Greene Co High School · Leakesville, MSFrequently 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 Health Center Inc's NPI number?
The NPI number for Coastal Family Health Center Inc is 1366515470. It was assigned to this organization in the NPPES registry on November 16, 2006. The provider is doing business as Coastal Family Health Center, Inc - Green High School Clinic.
Where is Coastal Family Health Center Inc located?
Coastal Family Health Center Inc is located at 4336 High School Rd, Leakesville, MS 39451. The listed phone number is (601) 394-6830.
What is Coastal Family Health Center Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Coastal Family Health Center Inc enrolled in Medicare?
Yes. Coastal Family Health Center Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coastal Family Health Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 90 clinicians in 10 Medicare specialties reassign their Medicare billing to Coastal Family Health Center Inc. 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. The largest specialties are Nurse Practitioner (59), Mental Health Counselor (5) and Pediatric Medicine (5). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Coastal Family Health Center Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2048977) is associated with this NPI, valid through October 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Coastal Family Health Center Inc accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Coastal Family Health Center Inc 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 Health Center Inc was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Coastal Family Health Center, Inc - Green High School Clinic · NPI 1366515470
Federally Qualified Health Center (FQHC) organization in Leakesville, Mississippi. Organization record, active in the CMS NPPES registry since November 16, 2006.
## Identity
- **NPI:** 1366515470 (Entity type: Organization)
- **Enumerated:** November 16, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Coastal Family Health Center Inc
- **Organization subpart:** No
- **Authorized official:** Angelique Greer, CEO
## Practice location
- **Address:** 4336 HIGH SCHOOL RD, Leakesville, MS 39451-2584
- **Phone:** (601) 394-6830 · **Fax:** (601) 394-6831
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 90 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (59), Mental Health Counselor (5), Pediatric Medicine (5); 5 practice within 10 miles; [full list](https://npiprofile.com/npi/1366515470/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 16, 2024
- **Other identifiers:** Medicaid 06887066 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1366515470) · Data from the CMS NPPES public registry.