Organization provider

COASTAL AESTHETIC CENTER PA

Plastic and Reconstructive Surgery Physician Medicare enrolled

COASTAL AESTHETIC CENTER PA is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1114119393, based in Saint Augustine, FL. It is classified under Plastic and Reconstructive Surgery Physician.

Getting there

The practice address on file is 301 HEALTH PARK BLVD STE 109, Saint Augustine, FL 32086. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

301 HEALTH PARK BLVD STE 109, Saint Augustine, FL 32086 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
ME99062 FL Plastic and Reconstructive Surgery… primary

This provider holds licence ME99062 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
2264521400
Enrollment ID
O20071211000285

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 Plastic and Reconstructive Surgery covers

A surgeon who specializes in plastic and reconstructive surgery. NUCC Health Care Provider Taxonomy, code 2086S0122X
Allopathic & Osteopathic Physicians Surgery Plastic and Reconstructive Surgery

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.

NPI1114119393 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateAug 13, 2007
Last updatedMay 16, 2024
StatusActive
Practice address 301 HEALTH PARK BLVD
STE 109
Saint Augustine, FL 32086
(904) 245-1320
Fax (866) 878-2261
Mailing address PO BOX 3123
Saint Augustine, FL 32085
This record was updated on May 16, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1114119393 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
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 1 1 4 1 1 9 3 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 2 4 2 1 9 3 9

Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3

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.

Common questions

What is NPI number 1114119393?
NPI 1114119393 is the National Provider Identifier assigned to COASTAL AESTHETIC CENTER PA in Saint Augustine, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Plastic and Reconstructive Surgery cover?
A surgeon who specializes in plastic and reconstructive surgery.
How do I contact COASTAL AESTHETIC CENTER PA?
The phone number on file with NPPES is (904) 245-1320, last updated May 16, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does COASTAL AESTHETIC CENTER PA accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1114119393 a valid number?
Yes. 1114119393 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.