SOUTHERN COASTAL AESTHETICS, LLC
NPI 1487515318
Clinic/Center - Ambulatory Surgical in Gulf Shores, AL

Active since November 20, 2025
350 CYPRESS BEND BLVD STE 105, GULF SHORES, AL 36542(251) 255-5947 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 25, 2026, Nov 24, 2025, Nov 20, 2025 (3 updates tracked since 2025).

About Southern Coastal Aesthetics, Llc NPPES

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

SOUTHERN COASTAL AESTHETICS, LLC (NPI 1487515318), doing business as Southern Coastal Aesthetics, is a healthcare organization registered as an ambulatory surgical in Gulf Shores, Alabama and active in the NPI registry since November 2025. The organization lists Rachel Holub, Ao, as its authorized official.

NPPES Registry Identity

NPI1487515318
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSOUTHERN COASTAL AESTHETICS, LLC
Location Address350 CYPRESS BEND BLVD STE 105Gulf Shores, AL 36542-9190
Mailing Address350 Cypress Bend Blvd Ste 105Gulf Shores, AL 36542-9190 · (251) 521-4569
Organization SubpartNo
Authorized OfficialRachel HolubAo · (757) 873-3500
Enumeration DateNovember 20, 2025
Last NPPES UpdateMarch 25, 20263 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1487515318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
350 CYPRESS BEND BLVD STE 105, Gulf Shores, AL 36542

Other Names 1

Doing Business AsSouthern Coastal Aesthetics

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Coastal Aesthetics, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern Coastal Aesthetics, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ophthalmology
NPI 1437294063
350 CYPRESS BEND BLVD STE 105
Gulf Shores, AL 36542
(251) 521-4569
✔ PECOS✔ Accepts MedicareSame address

Source: 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 Southern Coastal Aesthetics, LLC's NPI number?

The NPI number for Southern Coastal Aesthetics, LLC is 1487515318. It was assigned to this organization in the NPPES registry on November 20, 2025. The provider is doing business as Southern Coastal Aesthetics.

Where is Southern Coastal Aesthetics, LLC located?

Southern Coastal Aesthetics, LLC is located at 350 Cypress Bend Blvd Ste 105, Gulf Shores, AL 36542. The listed phone number is (251) 255-5947.

What is Southern Coastal Aesthetics, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Southern Coastal Aesthetics, LLC enrolled in Medicare?

Yes. Southern Coastal Aesthetics, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Coastal Aesthetics, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Southern Coastal Aesthetics, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern Coastal Aesthetics, LLC was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.