COASTAL PREVENTATIVE MEDICINE, LLC
NPI 1699067959
Clinic/Center - Primary Care in Gautier, MS

Q: What is Coastal Preventative Medicine, LLC's NPI number?

The NPI number for Coastal Preventative Medicine, LLC is 1699067959. It was assigned to this organization in the NPPES registry on May 4, 2011.

Q: What is Coastal Preventative Medicine, LLC's specialty?

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

Active since May 04, 2011

3300 LADNIER RD, GAUTIER, MS 39553(228) 497-2652(228) 497-3667 Get Directions Write a Review

NPPES record last updated: May 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Coastal Preventative Medicine, Llc NPPES

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

COASTAL PREVENTATIVE MEDICINE, LLC (NPI 1699067959) is a healthcare organization registered as a primary care in Gautier, Mississippi and active in the NPI registry since May 2011. The organization lists Barry Monday, Admin, as its authorized official.

NPPES Registry Identity

NPI1699067959

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameCOASTAL PREVENTATIVE MEDICINE, LLC

Location Address3300 LADNIER RDGautier, MS 39553-5909

Mailing AddressPo Box 17708Hattiesburg, MS 39404-7708 · (601) 296-2552 · Fax (601) 296-2397

Phone(228) 497-2652

Fax(228) 497-3667

Organization SubpartNo

Authorized OfficialBarry MondayAdmin · (601) 296-2552

Enumeration DateMay 4, 2011

✔ NPI 1699067959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

3300 LADNIER RD, Gautier, MS 39553

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONNICA J REYES, DBA GAUTIER MEDICAL CLINIC

Nurse Practitioner (Family)

3300 LADNIER RD
GAUTIER, MS 39553

Jackson County (251) 591-8688

PREVENTATIVE MEDICINE AND PRIMARY CARE

Clinic/Center (Primary Care)

3300 LADNIER RD
GAUTIER, MS 39553

Jackson County (228) 497-2652

DR. RICK D HOOVER DO

Family Medicine

3300 LADNIER RD
GAUTIER, MS 39553

Jackson County (228) 497-2652

PREVENTATIVE MEDICINE & PRIMARY CARE LLC

Family Medicine

3300 LADNIER RD
GAUTIER, MS 39553

Jackson County (228) 497-2652

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 Preventative Medicine, LLC's NPI number?

The NPI number for Coastal Preventative Medicine, LLC is 1699067959. It was assigned to this organization in the NPPES registry on May 4, 2011.

Where is Coastal Preventative Medicine, LLC located?

Coastal Preventative Medicine, LLC is located at 3300 Ladnier Rd, Gautier, MS 39553. The listed phone number is (228) 497-2652.

What is Coastal Preventative Medicine, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Coastal Preventative Medicine, LLC was last updated on May 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.