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COASTAL COSMETIC CENTER, PA
NPI 1548296189
Plastic Surgery in Jacksonville, FL

Active since June 24, 2006
4147 SOUTHPOINT DR E, JACKSONVILLE, FL 32216(904) 332-6774(904) 332-9137 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Coastal Cosmetic Center, Pa NPPES

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

COASTAL COSMETIC CENTER, PA (NPI 1548296189) is a healthcare organization registered as a plastic surgery in Jacksonville, Florida and active in the NPI registry since June 2006. The organization lists Sandra A Harms, Administrator, as its authorized official.

NPPES Registry Identity

NPI1548296189
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameCOASTAL COSMETIC CENTER, PA
Location Address4147 SOUTHPOINT DR EJacksonville, FL 32216-0996
Mailing Address4147 Southpoint Dr EJacksonville, FL 32216-0996 · (904) 332-6774 · Fax (904) 332-9137
Phone(904) 332-6774
Fax(904) 332-9137
Organization SubpartNo
Authorized OfficialSandra A HarmsAdministrator · (904) 332-6774
Enumeration DateJune 24, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1548296189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
4147 SOUTHPOINT DR E, Jacksonville, FL 32216
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Other Identifiers 1

Other97148FL · Bcbs Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.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 Cosmetic Center, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Coastal Cosmetic Center, PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jordan Bilezikian, MD
Plastic and Reconstructive Surgery
NPI 1972967123
4147 SOUTHPOINT DR E
Jacksonville, FL 32216
(904) 425-1846
✔ PECOS✔ Accepts MedicareSame address
Timothy Fee, M.D.
Plastic and Reconstructive Surgery
NPI 1003876251
4147 SOUTHPOINT DR E
Jacksonville, FL 32216
(904) 332-6774
✔ 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 Coastal Cosmetic Center, PA's NPI number?

The NPI number for Coastal Cosmetic Center, PA is 1548296189. It was assigned to this organization in the NPPES registry on June 24, 2006.

Where is Coastal Cosmetic Center, PA located?

Coastal Cosmetic Center, PA is located at 4147 Southpoint Dr E, Jacksonville, FL 32216. The listed phone number is (904) 332-6774.

What is Coastal Cosmetic Center, PA's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Coastal Cosmetic Center, PA enrolled in Medicare?

Yes. Coastal Cosmetic Center, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Cosmetic Center, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Coastal Cosmetic Center, PA. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Coastal Cosmetic Center, PA accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Coastal Cosmetic Center, PA 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 Cosmetic Center, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.