COASTAL FAMILY HEALTH CENTER, INC - ESCATAWPA SCHOOL CLINIC
NPI 1619465705
Clinic/Center - Federally Qualified Health Center (FQHC) in Moss Point, MS

Active since April 25, 2018CLIA 25D2159162 · Waiver
4208 JAMESTOWN RD, MOSS POINT, MS 39563(228) 474-3300 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, Oct 8, 2021, Apr 25, 2018 (3 updates tracked since 2018).

About Coastal Family Health Center, Inc - Escatawpa School Clinic NPPES

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

COASTAL FAMILY HEALTH CENTER, INC - ESCATAWPA SCHOOL CLINIC (NPI 1619465705) is a healthcare organization registered as a federally qualified health center (fqhc) in Moss Point, Mississippi and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through December 11, 2026 and lists Angelique Greer, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619465705
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOASTAL FAMILY HEALTH CENTER, INC
Location Address4208 JAMESTOWN RDMoss Point, MS 39563-9540
Mailing Address10467 Corporate DrGulfport, MS 39503-4634 · (228) 374-2494 · Fax (228) 374-2713
Organization SubpartNo
Authorized OfficialAngelique GreerCeo · (228) 374-2494
Enumeration DateApril 25, 2018
Last NPPES UpdateAugust 16, 20243 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
✔ NPI 1619465705 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
4208 JAMESTOWN RD, Moss Point, MS 39563

Other Names 1

Doing Business AsCoastal Family Health Center, Inc - Escatawpa School Clinic

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 - Escatawpa 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 - Escatawpa School Clinic, which bills Medicare for the services they deliver. Of these, 6 practice 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 1669412052
4770 AMOCO DR
Moss Point, MS 39563
(228) 474-9511
✔ PECOS✔ Accepts Medicare0.6 mi
Mental Health Counselor
NPI 1730564097
4770 AMOCO DR
Moss Point, MS 39563
(228) 474-9511
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1841808953
4770 AMOCO DR
Moss Point, MS 39563
(228) 474-9577
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1679116644
4770 AMOCO DR
Moss Point, MS 39563
(228) 374-2494
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1205296704
4105 HOSPITAL ST SUITE 103
Pascagoula, MS 39581
(228) 762-8712
✔ PECOS4.3 mi
Clinical Social Worker
NPI 1619725892
4502 LT EUGENE J MAJURE DR
Pascagoula, MS 39581
(228) 696-9224
✔ PECOS✔ Accepts Medicare5.9 mi
Nurse Practitioner
NPI 1851264436
10828 HIGHWAY 57
Vancleave, MS 39565
(228) 826-4711
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1356977557
10828 HIGHWAY 57
Vancleave, MS 39565
(603) 930-3933
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1619214541
6510 HIGHWAY 90 STE A
Gautier, MS 39553
(228) 822-6148
✔ PECOS11 mi
Obstetrics/Gynecology
NPI 1932133345
21 DOCTORS DR
Ocean Springs, MS 39564
(228) 872-1505
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1124484647
1103 HANLEY RD
Ocean Springs, MS 39564
(228) 875-3097
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1184701625
1514 BIENVILLE BLVD
Ocean Springs, MS 39564
(228) 382-9222
✔ PECOS17 mi
Family Practice
NPI 1194187245
715A DIVISION ST
Biloxi, MS 39530
(228) 374-2494
✔ PECOS✔ Accepts Medicare21 mi
Optometry
NPI 1184040172
715A DIVISION ST
Biloxi, MS 39530
(228) 374-4991
✔ PECOS✔ Accepts Medicare21 mi
Clinical Social Worker
NPI 1124952791
715A DIVISION ST
Biloxi, MS 39530
(228) 374-2492
✔ PECOS21 mi
Dentist
NPI 1982918066
715A DIVISION ST
Biloxi, MS 39530
(228) 374-4991
✔ PECOS21 mi
Clinical Social Worker
NPI 1427776467
715A DIVISION ST
Biloxi, MS 39530
(228) 374-4991
✔ PECOS✔ Accepts Medicare21 mi
Psychiatry
NPI 1538199831
3161 WAYNE DR
Diberville, MS 39540
(228) 392-2730
✔ PECOS✔ Accepts Medicare21 mi
Obstetrics/Gynecology
NPI 1356414908
1046 DIVISION ST
Biloxi, MS 39530
(228) 374-2494
✔ PECOS✔ Accepts Medicare22 mi
Mental Health Counselor
NPI 1740926468
1635 POPPS FERRY RD STE E
Biloxi, MS 39532
(228) 354-9700
✔ PECOS23 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 25D2159162

Coastal Family Health Escatawpa School Clin · Moss Point, MS
Active · expires Dec 11, 2026
CLIA Number25D2159162
Laboratory TypeSchool/Student Health Service
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorKayla Hults
Laboratory Phone(228) 474-3300
Laboratory LocationCoastal Family Health Escatawpa School Clin4208 Jamestown Road, Moss Point, MS 39563
CLIA data matches this NPI record on: Address 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 1619465705. It was assigned to this organization in the NPPES registry on April 25, 2018. The provider is doing business as Coastal Family Health Center, Inc - Escatawpa School Clinic.

Where is Coastal Family Health Center, Inc located?

Coastal Family Health Center, Inc is located at 4208 Jamestown Rd, Moss Point, MS 39563. The listed phone number is (228) 474-3300.

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, 6 practice 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 25D2159162) is associated with this NPI, valid through December 11, 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.