Coastline Medical Services PLLC
NPI 1003361767 · Medical Specialty Clinic/Center · Fort Walton Beach, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coastline Medical Services PLLC is a Medical Specialty Clinic/Center organization in Fort Walton Beach, FL (NPI 1003361767).
Provider details
- NPI number
- 1003361767
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Tavernaris, Physician(850) 396-1110
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-08-23
- Last updated
- 2024-09-27
- Certified
- 2024-09-27
Frequently asked questions
- What is Coastline Medical Services PLLC's NPI number?
- Coastline Medical Services PLLC's National Provider Identifier (NPI) is 1003361767, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastline Medical Services PLLC?
- Coastline Medical Services PLLC is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Coastline Medical Services PLLC located?
- Coastline Medical Services PLLC's practice location on file with NPPES is 1817 Lewis Turner Blvd Ste F, Fort Walton Beach, FL 32547-1349.
- What is Coastline Medical Services PLLC's phone number?
- The practice phone number listed in the NPPES registry for Coastline Medical Services PLLC is (850) 396-1110.
- Does Coastline Medical Services PLLC accept Medicare?
- Coastline Medical Services PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Coastline Medical Services PLLC?
- The authorized official listed on Coastline Medical Services PLLC's NPPES record is Michael Tavernaris, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastline Medical Services PLLC's NPI active?
- Yes — Coastline Medical Services PLLC's NPI (1003361767) is active in the NPPES registry as of the last update on 2024-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.