Coastal Longevity LLC
NPI 1912576893 · Health Service Clinic/Center · Virginia Beach, VA
Coastal Longevity LLC is a Health Service Clinic/Center organization in Virginia Beach, VA (NPI 1912576893).
Provider details
- NPI number
- 1912576893
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Gambill, Ceo(804) 840-8522
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
5 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
- 2021-06-23
- Last updated
- 2021-06-23
- Certified
- 2021-06-23
Frequently asked questions
- What is Coastal Longevity LLC's NPI number?
- Coastal Longevity LLC's National Provider Identifier (NPI) is 1912576893, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Longevity LLC?
- Coastal Longevity LLC is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Coastal Longevity LLC located?
- Coastal Longevity LLC's practice location on file with NPPES is 3128 Kline Dr, Virginia Beach, VA 23452-6226.
- What is Coastal Longevity LLC's phone number?
- The practice phone number listed in the NPPES registry for Coastal Longevity LLC is (804) 840-8522.
- Who is the authorized official for Coastal Longevity LLC?
- The authorized official listed on Coastal Longevity LLC's NPPES record is Michael Gambill, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Longevity LLC's NPI active?
- Yes — Coastal Longevity LLC's NPI (1912576893) is active in the NPPES registry as of the last update on 2021-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.