COASTAL FAMILY HEALTH CENTER, INC - JUNIOR HIGH SCHOOL CLINIC
NPI 1457444606
Clinic/Center - Federally Qualified Health Center (FQHC) in Leakesville, MS

Active since October 02, 2006CLIA 25D2048973 · Waiver
620 MAIN STREET, LEAKESVILLE, MS 39451(601) 394-4507(601) 394-5615 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 16, 2024, Nov 5, 2021, Apr 21, 2017 (3 updates tracked since 2017).

About Coastal Family Health Center, Inc - Junior High School Clinic NPPES

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

COASTAL FAMILY HEALTH CENTER, INC - JUNIOR HIGH SCHOOL CLINIC (NPI 1457444606) is a healthcare organization registered as a federally qualified health center (fqhc) in Leakesville, Mississippi and active in the NPI registry since October 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

NPI1457444606
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOASTAL FAMILY HEALTH CENTER INC
Location Address620 MAIN STREETLeakesville, MS 39451
Mailing Address10467 Corporate DrGulfport, MS 39503-4634 · (228) 374-2494 · Fax (228) 374-2713
Fax(601) 394-5615
Organization SubpartNo
Authorized OfficialAngelique GreerCeo · (228) 374-2494
Enumeration DateOctober 2, 2006
Last NPPES UpdateAugust 16, 20243 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
✔ NPI 1457444606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
620 MAIN STREET, Leakesville, MS 39451

Other Names 1

Doing Business AsCoastal Family Health Center, Inc - Junior High School Clinic

Other Identifiers 1

Medicaid08703746MS

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 - Junior High School Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

90

Medicare enrollment records show 90 clinicians reassign Medicare billing to Coastal Family Health Center, Inc - Junior High School Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner59
Mental Health Counselor5
Pediatric Medicine5
Clinical Social Worker4
Dentist4
Family Practice4
Obstetrics/Gynecology4
Internal Medicine3
2 other specialties2

Nearest to this location (20)

See all 90
Nurse Practitioner
NPI 1104681378
951 MAIN ST
Leakesville, MS 39451
(601) 394-2381
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1073916557
1616 WILLIAMS DR
Leakesville, MS 39451
(601) 394-2381
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1932527967
1616 WILLIAMS DR
Leakesville, MS 39451
(601) 394-2381
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1316460090
1616 WILLIAMS DR
Leakesville, MS 39451
(601) 394-2381
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1578915492
1616 WILLIAMS DR
Leakesville, MS 39451
(601) 394-2381
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1346642428
92 RATLIFF ST
Lucedale, MS 39452
(601) 947-8181
✔ PECOS16 mi
Nurse Practitioner
NPI 1053486852
226 LOWE LN
Lucedale, MS 39452
(228) 203-8224
✔ PECOS19 mi
Nurse Practitioner
NPI 1154628576
3810 WULFF RD E
Semmes, AL 36575
(251) 445-0581
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1215209986
951 MATTHEW DRIVE SUITE# A
Waynesboro, MS 39367
(601) 371-2742
✔ PECOS✔ Accepts Medicare36 mi
Internal Medicine
NPI 1639150444
2318 ST. STEPHENS RD
Mobile, AL 36617
(251) 308-5689
✔ PECOS✔ Accepts Medicare41 mi
Mental Health Counselor
NPI 1730564097
4770 AMOCO DR
Moss Point, MS 39563
(228) 474-9511
✔ PECOS✔ Accepts Medicare50 mi
Psychiatry
NPI 1538199831
3161 WAYNE DR
Diberville, MS 39540
(228) 392-2730
✔ PECOS✔ Accepts Medicare51 mi
Family Practice
NPI 1477864585
2313 HIGHWAY 15 N
Laurel, MS 39440
(601) 649-2775
✔ PECOS✔ Accepts Medicare52 mi
Obstetrics/Gynecology
NPI 1932133345
21 DOCTORS DR
Ocean Springs, MS 39564
(228) 872-1505
✔ PECOS✔ Accepts Medicare53 mi
Mental Health Counselor
NPI 1740926468
1635 POPPS FERRY RD STE E
Biloxi, MS 39532
(228) 354-9700
✔ PECOS54 mi
Clinical Social Worker
NPI 1619725892
4502 LT EUGENE J MAJURE DR
Pascagoula, MS 39581
(228) 696-9224
✔ PECOS✔ Accepts Medicare55 mi
Family Practice
NPI 1194187245
715A DIVISION ST
Biloxi, MS 39530
(228) 374-2494
✔ PECOS✔ Accepts Medicare55 mi
Optometry
NPI 1184040172
715A DIVISION ST
Biloxi, MS 39530
(228) 374-4991
✔ PECOS✔ Accepts Medicare55 mi
Dentist
NPI 1982918066
715A DIVISION ST
Biloxi, MS 39530
(228) 374-4991
✔ PECOS55 mi
Pediatric Medicine
NPI 1467446963
15190 COMMUNITY RD SUITE 270
Gulfport, MS 39503
(228) 328-1401
✔ PECOS59 mi
See all 90 clinicians

Source: 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 25D2048973

Coastal Family Health Center-Leakesville Junior Hi · Leakesville, MS
Active · expires Oct 25, 2026
CLIA Number25D2048973
Laboratory TypeSchool/Student Health Service
Certificate Effective DateOctober 26, 2024
Certificate Expiration DateOctober 25, 2026
Laboratory DirectorDanielle Eubanks
Laboratory Phone(601) 394-4507
Laboratory LocationCoastal Family Health Center-Leakesville Junior Hi620 Main Street, Leakesville, MS 39451
CLIA data matches this NPI record on: Address 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 Family Health Center Inc's NPI number?

The NPI number for Coastal Family Health Center Inc is 1457444606. It was assigned to this organization in the NPPES registry on October 2, 2006. The provider is doing business as Coastal Family Health Center, Inc - Junior High School Clinic.

Where is Coastal Family Health Center Inc located?

Coastal Family Health Center Inc is located at 620 Main Street, Leakesville, MS 39451. The listed phone number is (601) 394-4507.

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, 1 practice at this address and 5 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 25D2048973) 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.