Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Timothy Chad Frye, CRNP

Individual provider Family Nurse Practitioner · NPI 1336565431

Timothy Chad Frye, CRNP is a Nurse Practitioner in Gulfport, Mississippi. Graduated from University of Alabama School of Medicine in 2016, 10 years ago. Practices with Coastal Family Health Center, Inc, a 48-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
10
Trained at
University of Alabama School of Medicine
Licensed in
AL
In the registry since
2014
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

15024 Martin Luther King Jr Blvd
Gulfport, MS 39501-8306
Phone: (205) 783-7970
Fax: (205) 783-7695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-117395 (AL)

Record details

NPI number1336565431
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMarch 13, 2014
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Coastal Family Health Center, Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Gulfport