COASTLINE MEDICAL CENTER, PLLC
NPI 1952525859
Internal Medicine in Diberville, MS

Active since April 12, 2007
10536 AUTO MALL PKWY, SUITE A, DIBERVILLE, MS 39540(228) 396-0333(228) 396-4060 Get Directions Write a Review

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

About Coastline Medical Center, Pllc NPPES

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

COASTLINE MEDICAL CENTER, PLLC (NPI 1952525859) is a healthcare organization registered as an internal medicine in Diberville, Mississippi and active in the NPI registry since April 2007. The organization lists Nguyen Phong Huynh, Physician, as its authorized official.

NPPES Registry Identity

NPI1952525859
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOASTLINE MEDICAL CENTER, PLLC
Location Address10536 AUTO MALL PKWY, SUITE ADiberville, MS 39540-3742
Mailing Address10536 Auto Mall Pkwy, ADiberville, MS 39540-3742 · (228) 396-0333 · Fax (228) 396-4060
Fax(228) 396-4060
Organization SubpartNo
Authorized OfficialNguyen Phong HuynhPhysician · (228) 396-0333
Enumeration DateApril 12, 2007
Last NPPES UpdateJanuary 4, 2011
NPI 1952525859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in MS · 19541 Licensed in MS · 19050
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
10536 AUTO MALL PKWY, Diberville, MS 39540

Other Identifiers 5

Other1457462954MS · Npi For Dr. Huynh
Other1982618310MS · Npi For Dr. Le
Medicare UPINI09216MS
Medicare ID-Type UnspecifiedC03394MS · Group Number
Medicare UPINI44088MS

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Coastline Medical Center, PLLC's NPI number?

The NPI number for Coastline Medical Center, PLLC is 1952525859. It was assigned to this organization in the NPPES registry on April 12, 2007.

Where is Coastline Medical Center, PLLC located?

Coastline Medical Center, PLLC is located at 10536 Auto Mall Pkwy Suite A, Diberville, MS 39540. The listed phone number is (228) 396-0333.

What is Coastline Medical Center, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Coastline Medical Center, PLLC was last updated on January 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.