Coastal Surgery Center, LLC
NPI 1902832405 · Ambulatory Surgical Clinic/Center · Jacksonville, FL
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coastal Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Jacksonville, FL (NPI 1902832405).
Provider details
- NPI number
- 1902832405
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sandra Harms, Administrator(904) 332-6774
- License
- 14960580 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2006-06-25
- Last updated
- 2020-08-22
Frequently asked questions
- What is Coastal Surgery Center, LLC's NPI number?
- Coastal Surgery Center, LLC's National Provider Identifier (NPI) is 1902832405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Surgery Center, LLC?
- Coastal Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Coastal Surgery Center, LLC located?
- Coastal Surgery Center, LLC's practice location on file with NPPES is 4147 Southpoint Dr E, Jacksonville, FL 32216-0996.
- What is Coastal Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Coastal Surgery Center, LLC is (904) 332-6774.
- Does Coastal Surgery Center, LLC accept Medicare?
- Coastal Surgery Center, LLC 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 Coastal Surgery Center, LLC?
- The authorized official listed on Coastal Surgery Center, LLC's NPPES record is Sandra Harms, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Surgery Center, LLC's NPI active?
- Yes — Coastal Surgery Center, LLC's NPI (1902832405) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.