Gulf Coast Life, PLLC
NPI 1700264025 · Family Medicine Physician · Diamondhead, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gulf Coast Life, PLLC is a Family Medicine Physician organization in Diamondhead, MS (NPI 1700264025).
Provider details
- NPI number
- 1700264025
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Erin Dewitt, Physician(228) 255-8818
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
- 2015-05-07
- Last updated
- 2015-05-07
Frequently asked questions
- What is Gulf Coast Life, PLLC's NPI number?
- Gulf Coast Life, PLLC's National Provider Identifier (NPI) is 1700264025, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gulf Coast Life, PLLC?
- Gulf Coast Life, PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Gulf Coast Life, PLLC located?
- Gulf Coast Life, PLLC's practice location on file with NPPES is 4405 E Aloha Dr, Diamondhead, MS 39525-3380.
- What is Gulf Coast Life, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Gulf Coast Life, PLLC is (228) 255-8818.
- Does Gulf Coast Life, PLLC accept Medicare?
- Gulf Coast Life, 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 Gulf Coast Life, PLLC?
- The authorized official listed on Gulf Coast Life, PLLC's NPPES record is Erin Dewitt, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gulf Coast Life, PLLC's NPI active?
- Yes — Gulf Coast Life, PLLC's NPI (1700264025) is active in the NPPES registry as of the last update on 2015-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.