Coastal Neurologic Institute
Physician Assistant in Spanish Fort, AL. Organization (NPI-2).
NPI number1508303280
StatusActive
Last updated in NPPESJan 19, 2017
Details
- NPI
- 1508303280
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Neurologic Institute
- Organization subpart
- No
- Enumeration date
- Jan 19, 2017
- Last updated
- Jan 19, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | AL | Yes |
Practice location
30762 State Highway 181Spanish Fort, AL 36527-5672
Phone 205-382-0908
Mailing address
30762 State Highway 181Spanish Fort, AL 36527-5672
Phone 205-382-0908
Authorized official
Sidney Lynn McClendon
Physician Assistant
2053820908
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