COASTLINE MEDICAL SERVICES PLLC
COASTLINE MEDICAL SERVICES PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003361767, based in Fort Walton Beach, FL. The organization lists 2 taxonomy classifications, with Medical Specialty Clinic/Center recorded as primary.
Getting there
Here is what surrounds this office in Fort Walton Beach, based on OpenStreetMap data collected Sep 21, 2026. Parking is available about 0.36 mi away. The nearest transit stop is 0.36 mi away, served by Water and Sewer Building.
Getting here and what is nearby
Restaurant Task Force Pizza 879 ft ~4 min
1826 Lewis Turner Boulevard, Fort Walton Beach 32547
Mo-Su 11:00-21:00
Transit Okaloosa County Courthouse Annex Extension 0.26 mi ~6 min
Parking 0.31 mi ~7 min
Transit Water and Sewer Building 0.36 mi ~8 min
Parking 0.36 mi ~8 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| ME116308 | FL | Medical Specialty Clinic/Center primary |
This provider holds licence ME116308 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 0143593392
- Enrollment ID
- O20170909000031
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Medical Specialty covers
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). NUCC Health Care Provider Taxonomy, code 261QM2500X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QM2500X | Medical Specialty Clinic/Center Medical Specialty | ME116308 | FL | primary |
| 207QS0010X | Sports Medicine (Family Medicine) Physician Sports Medicine | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1003361767 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 23, 2016 |
| Last updated | Sep 27, 2024 |
| Status | Active |
| Practice address |
1817 LEWIS TURNER BLVD STE F Fort Walton Beach, FL 32547 (850) 396-1110 |
| Mailing address |
208 MARY ESTHER BLVD Mary Esther, FL 32569 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 3 | 6 | 1 | 7 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 6 | 6 | 2 | 7 | 3 |
Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.