Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Coastal Longevity LLC

Health Service Clinic/Center in Virginia Beach, VA · enumerated 2021 · authorized official Michael Gambill, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912576893

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Coastal Longevity LLC

Practice address 3128 Kline Dr, Virginia Beach, VA, 23452

Phone (804) 840-8522

Enumeration date Jun 23, 2021

Last updated in NPPES Jun 23, 2021

Taxonomy & classification

261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Michael Gambill

Title Ceo

Phone (804) 840-8522

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-06-23. Verify at npiregistry.cms.hhs.gov.

Where is Coastal Longevity LLC located?

The practice location on file with NPPES is in Virginia Beach, VA.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-06-23.