COASTAL COMPLETE CARE, PA
NPI 1720483043
Chiropractor in Perry, FL
About Coastal Complete Care, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTAL COMPLETE CARE, PA (NPI 1720483043) is a healthcare organization registered as a chiropractor in Perry, Florida and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through December 10, 2026 and lists Jamie Portwood, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
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 Complete Care, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Coastal Complete Care, PA, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 10D2088122
Coastal Complete Care · Perry, FLFrequently 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 Complete Care, PA's NPI number?
The NPI number for Coastal Complete Care, PA is 1720483043. It was assigned to this organization in the NPPES registry on October 29, 2014.
Where is Coastal Complete Care, PA located?
Coastal Complete Care, PA is located at 100 Plantation Rd, Perry, FL 32348. The listed phone number is (850) 584-6000.
What is Coastal Complete Care, PA's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Coastal Complete Care, PA enrolled in Medicare?
Yes. Coastal Complete Care, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coastal Complete Care, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Coastal Complete Care, PA, in Chiropractic, Emergency Medicine and Nurse Practitioner. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Coastal Complete Care, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2088122) is associated with this NPI, valid through December 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Coastal Complete Care, PA accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Wellpoint list Coastal Complete Care, 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 Complete Care, PA was last updated on October 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Coastal Complete Care, Pa · NPI 1720483043
Chiropractor organization in Perry, Florida. Organization record, active in the CMS NPPES registry since October 29, 2014.
## Identity
- **NPI:** 1720483043 (Entity type: Organization)
- **Enumerated:** October 29, 2014
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Jamie Portwood, BILLING MANAGER
## Practice location
- **Address:** 100 PLANTATION RD, Perry, FL 32348-6000
- **Phone:** (850) 584-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Chiropractic (2), Emergency Medicine (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 18, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720483043) · Data from the CMS NPPES public registry.