COASTAL COMMUNITY HEALTH SERVICES, INC.
NPI 1851131874
Clinic/Center - Federally Qualified Health Center (FQHC) in Fernandina Beach, FL
About Coastal Community Health Services, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTAL COMMUNITY HEALTH SERVICES, INC. (NPI 1851131874) is a healthcare organization registered as a federally qualified health center (fqhc) in Fernandina Beach, Florida and active in the NPI registry since May 2024. The organization holds a CLIA Microscopy certificate valid through August 21, 2028 and lists Kavanaugh Chandler, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Community Health Services, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
92Medicare enrollment records show 92 clinicians reassign Medicare billing to Coastal Community Health Services, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 92Source: 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 for Provider-Performed Microscopy Procedures (PPMP) 10D2309865
Coastal Community Health Services Inc · Fernandina Beach, 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 Community Health Services, Inc.'s NPI number?
The NPI number for Coastal Community Health Services, Inc. is 1851131874. It was assigned to this organization in the NPPES registry on May 28, 2024.
Where is Coastal Community Health Services, Inc. located?
Coastal Community Health Services, Inc. is located at 22385 Flora Park Crossing Drive, Fernandina Beach, FL 32034. The listed phone number is (904) 404-8641.
What is Coastal Community Health Services, 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 Community Health Services, Inc. enrolled in Medicare?
Yes. Coastal Community Health Services, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coastal Community Health Services, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 92 clinicians in 7 Medicare specialties reassign their Medicare billing to Coastal Community Health Services, 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 (42), Clinical Social Worker (16) and Clinical Psychologist (15). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Coastal Community Health Services, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 10D2309865) is associated with this NPI, valid through August 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Coastal Community Health Services, Inc. accept?
Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Coastal Community Health Services, 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 Community Health Services, Inc. was last updated on May 28, 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.
# Coastal Community Health Services, Inc. · NPI 1851131874
Federally Qualified Health Center (FQHC) organization in Fernandina Beach, Florida. Organization record, active in the CMS NPPES registry since May 28, 2024.
## Identity
- **NPI:** 1851131874 (Entity type: Organization)
- **Enumerated:** May 28, 2024
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Kavanaugh Chandler, CEO
## Practice location
- **Address:** 22385 FLORA PARK CROSSING DRIVE, Fernandina Beach, FL 32034
- **Phone:** (904) 404-8641 · **Fax:** (904) 227-3246
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 92 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (42), Clinical Social Worker (16), Clinical Psychologist (15); 2 practice at this address; [full list](https://npiprofile.com/npi/1851131874/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 28, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1851131874) · Data from the CMS NPPES public registry.