Charles E Probst (NPI# 1477864585, PAC ID# 2668505249) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1477864585 |
| PAC ID by PECOS | 2668505249 |
| Professional Enrollment ID | I20100803000609 |
| Full Name | Charles E Probst |
| Organization Legal Name | COASTAL FAMILY HEALTH CENTER INC |
| Address |
256 Main St State Line MS 39362-9499 |
| Phone Number | 2283742494 |
| Gender | M |
| Medical School | KANSAS CITY COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8628989654 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250036 | GEORGE REGIONAL HEALTH SYSTEM |
| 251329 | GREENE COUNTY HOSPITAL CAH |
| 250077 | WAYNE GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1616 Williams Dr, Leakesville, MS 39451-5622 | 2283742494 | COASTAL FAMILY HEALTH CENTER INC |
| 256 Main St, State Line, MS 39362-9499 | 2283742494 | COASTAL FAMILY HEALTH CENTER INC |
| Organization Legal Name | COASTAL FAMILY HEALTH CENTER INC |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebekah Daniels | Nurse Practitioner | Coastal Family Health Center Inc | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 |
| Ramona Lanea Williams | Nurse Practitioner | Coastal Family Health Center Inc | 715 A Division St, Biloxi, MS 39530-2209 |
| Darryl Adams | Nurse Practitioner | Coastal Family Health Center Inc | 3446 Big Ridge Rd, Diberville, MS 39540-2421 |
| Mclaurin P Palmer | Nurse Practitioner | Coastal Family Health Center Inc | 10828 Hwy 57, Vancleave, MS 39565-8264 |
| Danielle Eubanks | Nurse Practitioner | Coastal Family Health Center Inc | 256 Main St, State Line, MS 39362-9499 |
| Amanda N Hanson | Nurse Practitioner | Coastal Family Health Center Inc | 23457 Central Dr, A, Saucier, MS 39574-7521 |
| Ashley Delores Anderson | Optometry | Coastal Family Health Center Inc | 1616 Williams Dr, Leakesville, MS 39451-5622 |
| William S Ross | Family Practice | Coastal Family Health Center Inc | 1046 Division St, Biloxi, MS 39530-2935 |
| John C Adams | Family Medicine | Coastal Family Health Center Inc | 4770 Amoco Dr, Moss Point, MS 39563-9627 |
| Luella Williams | Nurse Practitioner | Coastal Family Health Center Inc | 109 Hospital Dr, Bay Saint Louis, MS 39520-1604 |
| Street Address |
256 MAIN ST |
| City | STATE LINE |
| State | MS |
| Zip | 39362-9499 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle Eubanks | Nurse Practitioner | Coastal Family Health Center Inc | 256 Main St, State Line, MS 39362-9499 |
| David M Ballew | Chiropractic | 256 Main St, Waterville, ME 04901-4857 | |
| Scott Mcgrath | Podiatry | 256 Main St, Dickson City, PA 18519-1618 | |
| Amanada L Freeman | Nurse Practitioner | Coastal Family Health Center Inc | 256 Main St, State Line, MS 39362-9499 |
| Antonia F Porco | Clinical Social Worker | 256 Main St, Suite 1101, Northport, NY 11768-1733 | |
| Bridget Keys | Nurse Practitioner | Coastal Family Health Center Inc | 256 Main St, State Line, MS 39362-9499 |
| Carolyn Kay Colwell | Clinical Social Worker | 256 Main St, Suite 1102, Northport, NY 11768-1747 |
| City | STATE LINE |
| Zip Code | 39362 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | STATE LINE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Charles E Probst.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.