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COASTAL INJURY CLINIC LLC
NPI 1437768033
Physical Medicine & Rehabilitation - Pain Medicine in Jacksonville, FL

Active since July 29, 2020CLIA Certified · 4 labs
2700 RIVERSIDE AVE STE 1, JACKSONVILLE, FL 32205(904) 559-6638(888) 927-0401 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 26, 2024, Oct 18, 2022, Jul 6, 2022 and 3 more (6 updates tracked since 2020).

About Coastal Injury Clinic Llc NPPES

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

COASTAL INJURY CLINIC LLC (NPI 1437768033) is a healthcare organization registered as a pain medicine in Jacksonville, Florida and active in the NPI registry since July 2020. The organization holds 4 active CLIA laboratory certificates, maintains 6 additional practice locations, and lists Andrew T Christman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1437768033
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameCOASTAL INJURY CLINIC LLC
Location Address2700 RIVERSIDE AVE STE 1Jacksonville, FL 32205-8233
Mailing AddressPo Box 1869Orange Park, FL 32067-1869 · (904) 559-6638 · Fax (888) 927-0401
Phone(904) 559-6638
Fax(888) 927-0401
Organization SubpartYesParent: Physicians Group Services Pa
Authorized OfficialAndrew T ChristmanCeo · (941) 685-7688
Enumeration DateJuly 29, 2020
Last NPPES UpdateApril 26, 20246 updates tracked since enumeration
NPPES CertifiedApril 26, 2024
✔ NPI 1437768033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedSpecialistTaxonomy 174400000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPodiatristTaxonomy 213E00000X
2700 RIVERSIDE AVE STE 1, Jacksonville, FL 32205
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Secondary Practice Locations 6

Location 18262 Point Meadows Dr Ste 202Jacksonville, FL 32256-4700 · Phone (904) 559-6638 · Fax (888) 927-0401
Location 2421 Kingsley Ave Ste 400Orange Park, FL 32073-4898 · Phone (904) 559-6638 · Fax (888) 927-0401
Location 31821 Blanding BlvdMiddleburg, FL 32068-3839 · Phone (904) 559-6638
Location 4404 NW Hall Of Fame DrLake City, FL 32055-4833 · Phone (904) 559-6638 · Fax (888) 927-0401
Location 5801 N Orange Ave Ste 530Orlando, FL 32801-5202 · Phone (904) 559-6638 · Fax (904) 439-4270
Location 6463386 State Road 200 Unit AYulee, FL 32097-3240 · Phone (904) 559-6638 · Fax (904) 439-4270

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

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 10D2221487

Coastal Injury Clinic LLC · Jacksonville, FL
Active · expires Apr 20, 2027
CLIA Number10D2221487
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2025
Certificate Expiration DateApril 20, 2027
Laboratory DirectorKenneth A. Powell
Laboratory Phone(904) 559-6638
Laboratory LocationCoastal Injury Clinic LLC8262 Point Meadows Dr - Ste 202, Jacksonville, FL 32256
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2267942

Coastal Injury Clinic, LLC · Yulee, FL
Active · expires Sep 1, 2026
CLIA Number10D2267942
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2024
Certificate Expiration DateSeptember 1, 2026
Laboratory DirectorKenneth A. Powell
Laboratory Phone(904) 559-6638
Laboratory LocationCoastal Injury Clinic, LLC463386 State Rd 200 - Unit A, Yulee, FL 32097
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2221489

Coastal Injury Clinic LLC · Middleburg, FL
Active · expires Apr 20, 2027
CLIA Number10D2221489
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2025
Certificate Expiration DateApril 20, 2027
Laboratory DirectorKenneth A. Powell
Laboratory Phone(904) 559-6638
Laboratory LocationCoastal Injury Clinic LLC1811 Blanding Blvd, Suite 102, Middleburg, FL 32068
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2199859

Coastal Injury Clinic LLC · Jacksonville, FL
Active · expires Nov 11, 2026
CLIA Number10D2199859
Laboratory TypePhysician Office
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorKenneth Powell
Laboratory Phone(904) 559-6638
Laboratory LocationCoastal Injury Clinic LLC2700 Riverside Ave - Ste 3, Jacksonville, FL 32205
CLIA data matches this NPI record on: 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 Injury Clinic LLC's NPI number?

The NPI number for Coastal Injury Clinic LLC is 1437768033. It was assigned to this organization in the NPPES registry on July 29, 2020.

Where is Coastal Injury Clinic LLC located?

Coastal Injury Clinic LLC is located at 2700 Riverside Ave Ste 1, Jacksonville, FL 32205. The listed phone number is (904) 559-6638.

What is Coastal Injury Clinic LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Does Coastal Injury Clinic LLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Coastal Injury Clinic LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Coastal Injury Clinic 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 Injury Clinic LLC was last updated on April 26, 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.