GULF COAST LIFE, PLLC
NPI 1700264025
Family Medicine in Diamondhead, MS

Q: What is Gulf Coast Life, PLLC's NPI number?

The NPI number for Gulf Coast Life, PLLC is 1700264025. It was assigned to this organization in the NPPES registry on May 7, 2015.

Q: What is Gulf Coast Life, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 07, 2015CLIA 25D2096426 · Waiver

4405 E ALOHA DR, DIAMONDHEAD, MS 39525(228) 255-8818(228) 255-8820 Get Directions Write a Review

NPPES record last updated: May 7, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Gulf Coast Life, Pllc NPPES

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

GULF COAST LIFE, PLLC (NPI 1700264025) is a healthcare organization registered as a family medicine in Diamondhead, Mississippi and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through May 25, 2027 and lists Erin Adam Dewitt, Physician, as its authorized official.

NPPES Registry Identity

NPI1700264025

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameGULF COAST LIFE, PLLC

Location Address4405 E ALOHA DRDiamondhead, MS 39525-3380

Mailing Address4405 E Aloha DrDiamondhead, MS 39525-3380 · (228) 255-8818 · Fax (228) 255-8820

Phone(228) 255-8818

Fax(228) 255-8820

Organization SubpartNo

Authorized OfficialErin Adam DewittPhysician · (228) 255-8818

Enumeration DateMay 7, 2015

✔ NPI 1700264025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4405 E ALOHA DR, Diamondhead, MS 39525

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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 from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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 25D2096426

Gulf Coast Life, PLLC · Diamondhead, MS

Active · expires May 25, 2027

CLIA Number25D2096426

Laboratory TypePhysician Office

Certificate Effective DateMay 26, 2025

Certificate Expiration DateMay 25, 2027

Laboratory DirectorErin A. Dewitt

Laboratory Phone(228) 255-8818

Laboratory LocationGulf Coast Life, PLLC4405 E Aloha Drive, Diamondhead, MS 39525

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MEMORIAL HOSPITAL AT GULFPORT

Internal Medicine (Nephrology)

4405 E ALOHA DR, SUITE 1
DIAMONDHEAD, MS 39525

Hancock County (228) 863-7393

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 Gulf Coast Life, PLLC's NPI number?

The NPI number for Gulf Coast Life, PLLC is 1700264025. It was assigned to this organization in the NPPES registry on May 7, 2015.

Where is Gulf Coast Life, PLLC located?

Gulf Coast Life, PLLC is located at 4405 E Aloha Dr, Diamondhead, MS 39525. The listed phone number is (228) 255-8818.

What is Gulf Coast Life, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Gulf Coast Life, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2096426) is associated with this NPI, valid through May 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gulf Coast Life, PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Gulf Coast Life, PLLC 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 Gulf Coast Life, PLLC was last updated on May 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.