COASTAL FAMILY PRACTICE & ACUTE CARE CENTER LLC
NPI 1639223886
Clinic/Center - Primary Care in Panama City Beach, FL

Active since January 23, 2007
9961 E COUNTY HIGHWAY 30A, SUITE #5, PANAMA CITY BEACH, FL 32413(850) 231-9286(850) 231-9287 Get Directions Write a Review

NPPES record last updated: July 7, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Coastal Family Practice & Acute Care Center Llc NPPES

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

COASTAL FAMILY PRACTICE & ACUTE CARE CENTER LLC (NPI 1639223886) is a healthcare organization registered as a primary care in Panama City Beach, Florida and active in the NPI registry since January 2007. The organization lists William Robert Marshall, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1639223886
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCOASTAL FAMILY PRACTICE & ACUTE CARE CENTER LLC
Location Address9961 E COUNTY HIGHWAY 30A, SUITE #5Panama City Beach, FL 32413-7282
Mailing Address9961 E County Highway 30a, Suite #5Panama City Beach, FL 32413-7282 · (850) 231-9286 · Fax (850) 231-9287
Fax(850) 231-9287
Organization SubpartNo
Authorized OfficialWilliam Robert MarshallBilling Manager · (850) 231-9286
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJuly 7, 2010
✔ NPI 1639223886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
9961 E COUNTY HIGHWAY 30A, Panama City Beach, FL 32413

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 Practice & Acute Care Center 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 Coastal Family Practice & Acute Care Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1114099660
9961 E COUNTY HIGHWAY 30A SUITE 5
Panama City Beach, FL 32413
(850) 231-9286
✔ 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 Family Practice & Acute Care Center LLC's NPI number?

The NPI number for Coastal Family Practice & Acute Care Center LLC is 1639223886. It was assigned to this organization in the NPPES registry on January 23, 2007.

Where is Coastal Family Practice & Acute Care Center LLC located?

Coastal Family Practice & Acute Care Center LLC is located at 9961 E County Highway 30A Suite #5, Panama City Beach, FL 32413. The listed phone number is (850) 231-9286.

What is Coastal Family Practice & Acute Care Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Coastal Family Practice & Acute Care Center LLC enrolled in Medicare?

Yes. Coastal Family Practice & Acute Care Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Family Practice & Acute Care Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Coastal Family Practice & Acute Care Center 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 Coastal Family Practice & Acute Care Center LLC was last updated on July 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.