COASTAL PEDIATRIC GROUP – Pediatrics Physician, NPI 1417304643

COASTAL PEDIATRIC GROUP is a healthcare provider. based in Destin, Florida. specializing in Pediatrics Physician. The organization holds a License No. ME87333 (FL). The NPI Number for COASTAL PEDIATRIC GROUP is 1417304643

Main info

Organization
Name
COASTAL PEDIATRIC GROUP
NPI
1417304643
Phone
(850) 659-6556
Address
36468 EMERALD COAST PKWY UNIT 2101
Authorized Official
MARILYN T SPRENKLE OWNER MD
Enumeration Date
17 May 2016
Last Update Date
2 January 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for COASTAL PEDIATRIC GROUP

  • 36468 EMERALD COAST PKWY UNIT 2101

    DESTIN, FL 32541

    Phone: (850) 659-6556

    Fax: (850) 249-1308

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32541)

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Frequently asked questions

Is COASTAL PEDIATRIC GROUP listed with a National Provider Identifier?
Yes — COASTAL PEDIATRIC GROUP has NPI 1417304643 on file in the registry.
Is there an active status for COASTAL PEDIATRIC GROUP?
For scheduling context, COASTAL PEDIATRIC GROUP is shown as active in the registry.
What expertise is attributed to COASTAL PEDIATRIC GROUP?
COASTAL PEDIATRIC GROUP's specialty line reads Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for COASTAL PEDIATRIC GROUP?
Travel planning: use Destin, Florida as the reference point for COASTAL PEDIATRIC GROUP, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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