Coastal Family Health Center | |
1046 Division St Biloxi MS 39530-2935 | |
(228) 374-2494 | |
(228) 374-0856 |
Full Name | Coastal Family Health Center |
---|---|
Speciality | Clinic/Center |
Location | 1046 Division St, Biloxi, Mississippi |
Authorized Official Name and Position | Joe M Dawsey (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2283742494 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Coastal Family Health Center Po Box 475 Biloxi MS 39533-0475 Ph: (228) 374-2494 | Coastal Family Health Center 1046 Division St Biloxi MS 39530-2935 Ph: (228) 374-2494 |
NPI Number | 1629066782 |
---|---|
Provider Enumeration Date | 10/12/2005 |
Last Update Date | 04/14/2011 |
Medicare PECOS PAC ID | 8628989654 |
---|---|
Medicare Enrollment ID | O20040108000698 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629066782 | NPI | - | NPPES |
C00895 | Other | MS | MEDICARE/MS CAHABA |
04352209 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Mississippi) | Primary |
Provider Name | Placid Eze |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083601538 PECOS PAC ID: 8426962804 Enrollment ID: I20031212000114 |
Provider Name | John C Adams |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013026970 PECOS PAC ID: 0941103709 Enrollment ID: I20040129000298 |
Provider Name | Becky J Mercier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083726491 PECOS PAC ID: 0244216166 Enrollment ID: I20040629001303 |
Provider Name | Michael Dorcik |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1356414908 PECOS PAC ID: 7416920178 Enrollment ID: I20040819000743 |
Provider Name | Wendy E Williams |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1467446963 PECOS PAC ID: 6406825041 Enrollment ID: I20040929001183 |
Provider Name | Jonette S Scott |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1083714612 PECOS PAC ID: 2668425430 Enrollment ID: I20050222000542 |
Provider Name | Allen Karstens |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1639148471 PECOS PAC ID: 6406809086 Enrollment ID: I20050223000464 |
Provider Name | Sarah Drymon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184701625 PECOS PAC ID: 9739285495 Enrollment ID: I20070426000479 |
Provider Name | Laurie L Cabral |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477560878 PECOS PAC ID: 9537217245 Enrollment ID: I20090507000541 |
Provider Name | Luella Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144297755 PECOS PAC ID: 0941342117 Enrollment ID: I20100126000736 |
Provider Name | William Malone |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1306813126 PECOS PAC ID: 0547302713 Enrollment ID: I20100126000781 |
Provider Name | Amilie T Thames |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851304026 PECOS PAC ID: 6204966252 Enrollment ID: I20100709000159 |
Provider Name | Charles E Probst |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477864585 PECOS PAC ID: 2668505249 Enrollment ID: I20100803000609 |
Provider Name | John F Pappas |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1558460162 PECOS PAC ID: 0143304832 Enrollment ID: I20101214000678 |
Provider Name | Stephen C Jones |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1285664722 PECOS PAC ID: 7911196753 Enrollment ID: I20110111000233 |
Provider Name | Shama Shakir |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1396712915 PECOS PAC ID: 5294924932 Enrollment ID: I20110111000339 |
Provider Name | Amanda Louise Osborne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346548096 PECOS PAC ID: 0446435606 Enrollment ID: I20110503000573 |
Provider Name | Jessica Moran |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386883791 PECOS PAC ID: 6002084928 Enrollment ID: I20110720000671 |
Provider Name | Julia E Riley |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1366541872 PECOS PAC ID: 6305830530 Enrollment ID: I20111024000660 |
Provider Name | Amanada L Freeman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215209986 PECOS PAC ID: 4880852185 Enrollment ID: I20120215000809 |
Provider Name | Abigail M Lafleur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801167671 PECOS PAC ID: 3971769290 Enrollment ID: I20120731000504 |
Provider Name | Hailey M Morgan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154628576 PECOS PAC ID: 4082853312 Enrollment ID: I20130618000609 |
Provider Name | Nicholas R Rutledge |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972878494 PECOS PAC ID: 4082856042 Enrollment ID: I20130805000481 |
Provider Name | Angelos Vamvakas |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1538199831 PECOS PAC ID: 0143452250 Enrollment ID: I20140403001550 |
Provider Name | Ashley Delores Burns |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1184040172 PECOS PAC ID: 2163645888 Enrollment ID: I20140528000987 |
Provider Name | Robyn Tameeka Wheeler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477957132 PECOS PAC ID: 8426372921 Enrollment ID: I20150109000776 |
Provider Name | Amanda N Hanson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619214541 PECOS PAC ID: 0547584666 Enrollment ID: I20150121000603 |
Provider Name | William F Moore |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1932133345 PECOS PAC ID: 0446416200 Enrollment ID: I20150204000597 |
Provider Name | Danielle Eubanks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073916557 PECOS PAC ID: 0840516597 Enrollment ID: I20150224001405 |
Provider Name | Mclaurin P Palmer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376934794 PECOS PAC ID: 1850618729 Enrollment ID: I20150402002023 |
Provider Name | Darryl Adams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235170267 PECOS PAC ID: 4880608843 Enrollment ID: I20150415001244 |
Provider Name | Melody Horton-drummond |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174908420 PECOS PAC ID: 9234423450 Enrollment ID: I20160926000604 |
Provider Name | Ramona Lanea Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124484647 PECOS PAC ID: 4688962897 Enrollment ID: I20161004000579 |
Provider Name | Julie Kathryn Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689122277 PECOS PAC ID: 6305126723 Enrollment ID: I20161201000125 |
Provider Name | Hoyt Aaron Williamson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578915492 PECOS PAC ID: 0941584197 Enrollment ID: I20170307001321 |
Provider Name | Ashley Bourgeois Linton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841739695 PECOS PAC ID: 4082984174 Enrollment ID: I20170722000123 |
Provider Name | Jada E Vierling Hill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699157487 PECOS PAC ID: 8123338654 Enrollment ID: I20170728000049 |
Provider Name | Rebekah Daniels |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265960553 PECOS PAC ID: 5395016000 Enrollment ID: I20170728002829 |
Provider Name | Erin Therese Fox |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1578826558 PECOS PAC ID: 6002127891 Enrollment ID: I20170901000529 |
Provider Name | Alberta Maria Messer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013234293 PECOS PAC ID: 5395048763 Enrollment ID: I20171025003512 |
Provider Name | Felix Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982119228 PECOS PAC ID: 4082972112 Enrollment ID: I20171219003448 |
Provider Name | Daphne Crenshaw |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346755675 PECOS PAC ID: 0345508156 Enrollment ID: I20171228001565 |
Provider Name | Robert L Pinsky |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720056328 PECOS PAC ID: 2062415797 Enrollment ID: I20180227002477 |
Provider Name | Jaime Denise Guttierrez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548648157 PECOS PAC ID: 4183986748 Enrollment ID: I20180319001343 |
Provider Name | Glenda Darlene Balius |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497262943 PECOS PAC ID: 0446512990 Enrollment ID: I20180320002838 |
Provider Name | Bridget Keys |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932527967 PECOS PAC ID: 6002178357 Enrollment ID: I20180326001154 |
Provider Name | Dedra Terry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184089369 PECOS PAC ID: 3476842444 Enrollment ID: I20180416002169 |
Provider Name | Valexia Jacynta Edwards |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1710363130 PECOS PAC ID: 6103180716 Enrollment ID: I20180508000912 |
Provider Name | Gabrielle Deschamp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225521982 PECOS PAC ID: 2769734797 Enrollment ID: I20181002003443 |
Provider Name | Carissa Bolden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366912529 PECOS PAC ID: 0042555963 Enrollment ID: I20181221000783 |
Provider Name | Daniel Richard Damitio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982180386 PECOS PAC ID: 9739424664 Enrollment ID: I20181221001440 |
Provider Name | Vicki Baldwin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639150444 PECOS PAC ID: 0042350779 Enrollment ID: I20190212000455 |
Provider Name | Elizabeth Taylor |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1982918066 PECOS PAC ID: 9436498243 Enrollment ID: I20190221002524 |
Provider Name | Shekina T Dillon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265918445 PECOS PAC ID: 2567709603 Enrollment ID: I20190228000174 |
Provider Name | April Norwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376028316 PECOS PAC ID: 6103167606 Enrollment ID: I20190410001984 |
Provider Name | Makeva K Reed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366707713 PECOS PAC ID: 4385985712 Enrollment ID: I20190411000691 |
Provider Name | Mary Elizabeth Harter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669412052 PECOS PAC ID: 8224073952 Enrollment ID: I20190411001410 |
Provider Name | Sabrina V Barnett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477010866 PECOS PAC ID: 3072846831 Enrollment ID: I20190610002290 |
Provider Name | Anganatte Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124586086 PECOS PAC ID: 4880923861 Enrollment ID: I20190917002450 |
Provider Name | Justin Kimberland Jourdan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730642166 PECOS PAC ID: 1254765266 Enrollment ID: I20191230000628 |
Provider Name | Boqin Hu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073144333 PECOS PAC ID: 4183051634 Enrollment ID: I20200224001840 |
Provider Name | Felisa Hall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932740578 PECOS PAC ID: 3173951852 Enrollment ID: I20200311000747 |
Provider Name | Amy Malinda Lott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316460090 PECOS PAC ID: 6709208101 Enrollment ID: I20200611002153 |
Provider Name | Shana Marie Broussard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134740798 PECOS PAC ID: 1355763871 Enrollment ID: I20200629003038 |
Provider Name | Felicia Sellers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679116644 PECOS PAC ID: 0042634768 Enrollment ID: I20200728000456 |
Provider Name | Yostin Z Mckelroy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639732530 PECOS PAC ID: 2163750449 Enrollment ID: I20201103002003 |
Provider Name | Christy Howard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841738275 PECOS PAC ID: 2163750092 Enrollment ID: I20210203001265 |
Provider Name | Rebecca Sue Kyle Ramirez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932675105 PECOS PAC ID: 8123367778 Enrollment ID: I20210224002486 |
Provider Name | Victoria Swynenberg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124382635 PECOS PAC ID: 4385874189 Enrollment ID: I20210305001403 |
Provider Name | Kayla Marie Cooley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003404732 PECOS PAC ID: 4183031966 Enrollment ID: I20210323000256 |
Provider Name | Meddol Regina Mccray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871132076 PECOS PAC ID: 7618384074 Enrollment ID: I20210331001118 |
Provider Name | Renay Danielle Ely Hinkle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205296704 PECOS PAC ID: 6406264076 Enrollment ID: I20210420001585 |
Provider Name | Tiffanie Marie Ferry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134703374 PECOS PAC ID: 4587063276 Enrollment ID: I20210601000078 |
Provider Name | Natalia A Stevenson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053486852 PECOS PAC ID: 2466601091 Enrollment ID: I20210716001832 |
Provider Name | Kayla Hults |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841808953 PECOS PAC ID: 8527479914 Enrollment ID: I20210825004106 |
Provider Name | Timothy Frye |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336565431 PECOS PAC ID: 2062635568 Enrollment ID: I20211018000194 |
Provider Name | Amy Adams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477952901 PECOS PAC ID: 9234457250 Enrollment ID: I20220125001991 |
Provider Name | Erica Deshaune Thomas |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1427776467 PECOS PAC ID: 1153794888 Enrollment ID: I20230228002980 |
Provider Name | Rebekah Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447988167 PECOS PAC ID: 5092179309 Enrollment ID: I20230919002740 |
Provider Name | Babak Amrollahie |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194187245 PECOS PAC ID: 6305249160 Enrollment ID: I20231031001865 |
Provider Name | Megan Elizabeth Blackman |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1043625619 PECOS PAC ID: 8921345125 Enrollment ID: I20231212001011 |
Provider Name | Sohei Breaux-fujita |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1699119834 PECOS PAC ID: 4587017538 Enrollment ID: I20240126000594 |
Provider Name | Marion B Brewer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235902859 PECOS PAC ID: 7416395272 Enrollment ID: I20240329001875 |
Provider Name | Bonnie Diane Pickett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205608882 PECOS PAC ID: 4587002852 Enrollment ID: I20240404004410 |
Provider Name | Katilyn Nicole Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093570996 PECOS PAC ID: 0345689550 Enrollment ID: I20240422000808 |
Provider Name | Wesley Donovan Freeman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104681378 PECOS PAC ID: 0244670248 Enrollment ID: I20240424001568 |
Provider Name | Reabie Elizabeth Laduna |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528837010 PECOS PAC ID: 5597105304 Enrollment ID: I20240426002141 |
Provider Name | Safia Mohiuddin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194352377 PECOS PAC ID: 3678996329 Enrollment ID: I20240501004166 |
Provider Name | Karla Mccarthy |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619725892 PECOS PAC ID: 0143762435 Enrollment ID: I20240531003826 |
Pass Road Walk-in Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2771 Pass Rd, Suite B, Biloxi, MS 39531 Phone: 228-385-4645 Fax: 228-385-4695 | |
Healthstop Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2490 Pass Rd, Biloxi, MS 39531 Phone: 228-207-9967 Fax: 228-273-1532 | |
Khaled A Rikabi, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 Debuys Rd., 215, Biloxi, MS 39531 Phone: 228-594-6484 Fax: 228-594-6494 | |
Regional Digestive Specialists, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15012 Lemoyne Blvd, Biloxi, MS 39532 Phone: 228-392-5787 Fax: 228-354-9169 | |
Ochsner Mississippi, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2781 C T Switzer Sr Dr Ste 302, Biloxi, MS 39531 Phone: 228-388-4816 Fax: 228-388-5906 | |
Painstop Spine Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 180 Debuys Rd, Biloxi, MS 39531 Phone: 228-273-4096 Fax: 228-594-1765 | |
Medical Analysis Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1025 Division St, Biloxi, MS 39530 Phone: 228-388-2599 Fax: 228-388-4157 |