OrganizationActiveAccepts Medicare
Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, PLLC
NPI 1366560435 · Specialist · Gulfport, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1366560435
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jason Smith, Owner(228) 863-6617
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
407 Security Sq
Gulfport, MS 39507-1922
Phone: (228) 896-1987
Fax: (228) 896-1315
Street-level locationGet directions
Mailing address
407 Security Sq
Gulfport, MS 39507-1922
Registry dates
- Enumerated
- 2007-03-27
- Last updated
- 2015-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.