COASTAL INJURY CLINIC LLC
NPI 1437768033
Physical Medicine & Rehabilitation - Pain Medicine in Jacksonville, FL
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 a CLIA Waiver certificate valid through April 20, 2027, maintains 6 additional practice locations, and lists Andrew T Christman, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
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.
Secondary Practice Locations 6
Group Practice 1
Accepted Insurance
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2221487
- Facility Type
- Physician Office
- Certificate Effective Date
- April 21, 2025
- Certificate Expiration Date
- April 20, 2027
- Laboratory Director
- KENNETH A. POWELL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Coastal Injury Clinic Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437768033, enumerated as an "organization" on July 29, 2020.
The provider is located at 2700 RIVERSIDE AVE STE 1 JACKSONVILLE, FL 32205 and the phone number is (904) 559-6638.
Physical Medicine & Rehabilitation with taxonomy code 2081P2900X and a focus in Pain Medicine.
The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL) and Florida. Please consult your insurance carrier or call the provider to verify.
