COASTAL FAMILY HEALTH CENTER, INC - LUCEDALE CLINIC
NPI 1861950982
Clinic/Center - Federally Qualified Health Center (FQHC) in Lucedale, MS

Active since March 07, 2019
11231 OLD 63 S, LUCEDALE, MS 39452(228) 374-2494 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 16, 2024, Oct 8, 2021, Mar 7, 2019 (3 updates tracked since 2019).

About Coastal Family Health Center, Inc - Lucedale Clinic NPPES

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

COASTAL FAMILY HEALTH CENTER, INC - LUCEDALE CLINIC (NPI 1861950982) is a healthcare organization registered as a federally qualified health center (fqhc) in Lucedale, Mississippi and active in the NPI registry since March 2019. The organization lists Angelique Greer, Ceo, as its authorized official.

NPPES Registry Identity

NPI1861950982
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOASTAL FAMILY HEALTH CENTER, INC
Location Address11231 OLD 63 SLucedale, MS 39452-4941
Mailing Address10467 Corporate DrGulfport, MS 39503-4634 · (228) 374-2494 · Fax (228) 374-2713
Organization SubpartNo
Authorized OfficialAngelique GreerCeo · (228) 374-2494
Enumeration DateMarch 7, 2019
Last NPPES UpdateAugust 16, 20243 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
✔ NPI 1861950982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
11231 OLD 63 S, Lucedale, MS 39452

Other Names 1

Doing Business AsCoastal Family Health Center, Inc - Lucedale Clinic

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 Family Health Center, Inc - Lucedale Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

90

Medicare enrollment records show 90 clinicians reassign Medicare billing to Coastal Family Health Center, Inc - Lucedale Clinic, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner59
Mental Health Counselor5
Pediatric Medicine5
Clinical Social Worker4
Dentist4
Family Practice4
Obstetrics/Gynecology4
Internal Medicine3
2 other specialties2

Nearest to this location (20)

See all 90
Nurse Practitioner
NPI 1346642428
92 RATLIFF ST
Lucedale, MS 39452
(601) 947-8181
✔ PECOS5.0 mi
Nurse Practitioner
NPI 1053486852
226 LOWE LN
Lucedale, MS 39452
(228) 203-8224
✔ PECOS5.6 mi
Nurse Practitioner
NPI 1073916557
1616 WILLIAMS DR
Leakesville, MS 39451
(601) 394-2381
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1932527967
1616 WILLIAMS DR
Leakesville, MS 39451
(601) 394-2381
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1316460090
1616 WILLIAMS DR
Leakesville, MS 39451
(601) 394-2381
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1578915492
1616 WILLIAMS DR
Leakesville, MS 39451
(601) 394-2381
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1104681378
951 MAIN ST
Leakesville, MS 39451
(601) 394-2381
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1154628576
3810 WULFF RD E
Semmes, AL 36575
(251) 445-0581
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1356977557
10828 HIGHWAY 57
Vancleave, MS 39565
(603) 930-3933
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1851264436
10828 HIGHWAY 57
Vancleave, MS 39565
(228) 826-4711
✔ PECOS✔ Accepts Medicare25 mi
Mental Health Counselor
NPI 1730564097
4770 AMOCO DR
Moss Point, MS 39563
(228) 474-9511
✔ PECOS✔ Accepts Medicare31 mi
Psychiatry
NPI 1538199831
3161 WAYNE DR
Diberville, MS 39540
(228) 392-2730
✔ PECOS✔ Accepts Medicare31 mi
Obstetrics/Gynecology
NPI 1932133345
21 DOCTORS DR
Ocean Springs, MS 39564
(228) 872-1505
✔ PECOS✔ Accepts Medicare32 mi
Mental Health Counselor
NPI 1740926468
1635 POPPS FERRY RD STE E
Biloxi, MS 39532
(228) 354-9700
✔ PECOS34 mi
Family Practice
NPI 1194187245
715A DIVISION ST
Biloxi, MS 39530
(228) 374-2494
✔ PECOS✔ Accepts Medicare35 mi
Optometry
NPI 1184040172
715A DIVISION ST
Biloxi, MS 39530
(228) 374-4991
✔ PECOS✔ Accepts Medicare35 mi
Clinical Social Worker
NPI 1124952791
715A DIVISION ST
Biloxi, MS 39530
(228) 374-2492
✔ PECOS35 mi
Dentist
NPI 1982918066
715A DIVISION ST
Biloxi, MS 39530
(228) 374-4991
✔ PECOS35 mi
Internal Medicine
NPI 1639150444
2318 ST. STEPHENS RD
Mobile, AL 36617
(251) 308-5689
✔ PECOS✔ Accepts Medicare35 mi
Pediatric Medicine
NPI 1467446963
15190 COMMUNITY RD SUITE 270
Gulfport, MS 39503
(228) 328-1401
✔ PECOS39 mi
See all 90 clinicians

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 Health Center, Inc's NPI number?

The NPI number for Coastal Family Health Center, Inc is 1861950982. It was assigned to this organization in the NPPES registry on March 7, 2019. The provider is doing business as Coastal Family Health Center, Inc - Lucedale Clinic.

Where is Coastal Family Health Center, Inc located?

Coastal Family Health Center, Inc is located at 11231 Old 63 S, Lucedale, MS 39452. The listed phone number is (228) 374-2494.

What is Coastal Family Health Center, 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 Family Health Center, Inc enrolled in Medicare?

Yes. Coastal Family Health Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Family Health Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 90 clinicians in 10 Medicare specialties reassign their Medicare billing to Coastal Family Health Center, 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 (59), Mental Health Counselor (5) and Pediatric Medicine (5). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Coastal Family Health Center, Inc accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Coastal Family Health Center, 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 Family Health Center, Inc was last updated on August 16, 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.