Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, PLLC

Organization Specialist · NPI 1366560435

Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, PLLC provides Specialist services in Gulfport, Mississippi. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

407 Security Sq
Gulfport, MS 39507-1922 Not confirmed with CMS for 11 years — call before visiting
Phone: (228) 896-1987
Fax: (228) 896-1315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1366560435
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Smith — Owner · (228) 863-6617
NPI enumeratedMarch 27, 2007
Last updated in NPPESApril 23, 2015
Mailing address407 Security Sq, Gulfport, MS 39507-1922

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