COASTAL EAR, NOSE AND THROAT, HEAD AND NECK SURGERY ASSOCIATES, PLLC
NPI 1366560435
Specialist in Gulfport, MS
About Coastal Ear, Nose And Throat, Head And Neck Surgery Associates, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTAL EAR, NOSE AND THROAT, HEAD AND NECK SURGERY ASSOCIATES, PLLC (NPI 1366560435) is a healthcare organization registered as a specialist in Gulfport, Mississippi and active in the NPI registry since March 2007. The organization lists Jason Smith, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Coastal Ear, Nose And Throat, Head And Neck Surgery Associates, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
25Medicare enrollment records show 25 clinicians reassign Medicare billing to Coastal Ear, Nose And Throat, Head And Neck Surgery Associates, PLLC, which bills Medicare for the services they deliver. Of these, 13 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 25Source: 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 Ear, Nose And Throat, Head And Neck Surgery Associates, PLLC's NPI number?
The NPI number for Coastal Ear, Nose And Throat, Head And Neck Surgery Associates, PLLC is 1366560435. It was assigned to this organization in the NPPES registry on March 27, 2007.
Where is Coastal Ear, Nose And Throat, Head And Neck Surgery Associates, PLLC located?
Coastal Ear, Nose And Throat, Head And Neck Surgery Associates, PLLC is located at 407 Security Sq, Gulfport, MS 39507. The listed phone number is (228) 896-1987.
What is Coastal Ear, Nose And Throat, Head And Neck Surgery Associates, PLLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Coastal Ear, Nose And Throat, Head And Neck Surgery Associates, PLLC enrolled in Medicare?
Yes. Coastal Ear, Nose And Throat, Head And Neck Surgery Associates, PLLC is registered in the Medicare PECOS enrollment system.
When is Coastal Ear, Nose And Throat, Head And Neck Surgery Associates, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Coastal Ear, Nose And Throat, Head And Neck Surgery Associates, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 3 Medicare specialties reassign their Medicare billing to Coastal Ear, Nose And Throat, Head And Neck Surgery Associates, PLLC. 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 Qualified Audiologist (11), Otolaryngology (9) and Nurse Practitioner (5). Of these, 13 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Coastal Ear, Nose And Throat, Head And Neck Surgery Associates, PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Coastal Ear, Nose And Throat, Head And Neck Surgery Associates, PLLC 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 Ear, Nose And Throat, Head And Neck Surgery Associates, PLLC was last updated on April 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 Ear, Nose And Throat, Head And Neck Surgery Associates, Pllc · NPI 1366560435
Specialist organization in Gulfport, Mississippi. Organization record, active in the CMS NPPES registry since March 27, 2007.
## Identity
- **NPI:** 1366560435 (Entity type: Organization)
- **Enumerated:** March 27, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Jason Smith, OWNER
## Practice location
- **Address:** 407 SECURITY SQ, Gulfport, MS 39507-1922
- **Phone:** (228) 896-1987 · **Fax:** (228) 896-1315
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 25 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Qualified Audiologist (11), Otolaryngology (9), Nurse Practitioner (5); 13 practice within 10 miles; [full list](https://npiprofile.com/npi/1366560435/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 23, 2015
- **Other identifiers:** Medicare UPIN C02361 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1366560435) · Data from the CMS NPPES public registry.