COASTLINE PHYSICAL MEDICINE AND REHABILITATION INC. (NPI# 1518356658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518356658 |
| Entity Type | Organization |
| Organization Name | COASTLINE PHYSICAL MEDICINE AND REHABILITATION INC. |
| Practice Address |
4011 Hwy 40 Saint Marys GA 31558-4067 |
| Practice Telephone | 9125769507 |
| Practice Fax Number | 9125769515 |
| Mailing Telephone | 9125769507 |
| Mailing Fax Number | 9125769515 |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-24 |
| Authorized Official Name | DR. VINCENT MESSBARGER (OWNER) |
| Authorized Official Telephone | 9125769507 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | GA68069 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
4011 HWY 40 |
| City | SAINT MARYS |
| State | GA |
| Zip Code | 31558-4067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699755702 | Vincent Mark Messbarger | Anesthesiology | 4011 Hwy 40, Saint Marys, GA 31558-4067 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942827332 | Primary Care of Coastal Georgia | Clinic/Center | 214a Professional Cir, St Marys, GA 31558 | 2020-07-01 |
| 1922659192 | Christian Bianca Booker | Social Worker | 944 Kings Bay Rd. #247, St. Marys, GA 31558 | 2019-09-27 |
| 1154897296 | Shonta Harper | Counselor | 708 Osborne St Ste 104, Saint Marys, GA 31558 | 2018-10-16 |
| 1174038095 | Camden Behavioral Wellness, Inc | Counselor | 605 Osborne Street, Saint Mary's, GA 31558 | 2017-12-14 |
| 1285149427 | Urgent Care of Coastal Georgia | General Practice | 214 A Professional Circle, St. Marys, GA 31558 | 2017-12-11 |
| 1679975783 | Jeremy Cole | Behavioral Analyst | 921 Charlie Smith Sr. Highway, St. Marys, GA 31558 | 2014-09-19 |
| 1053660738 | Janice Paulino Ramirez | Nurse Practitioner | 2040 Dan Proctor Drive, Suite 170, St Marys, GA 31558 | 2012-09-10 |
| 1174899454 | Light Horse Healthcare Inc | Voluntary or Charitable | 2060 Dan Proctor Drive, Suite 3300, St Marys, GA 31558 | 2012-03-30 |
| 1316215775 | Annette O. Perry | Counselor | 4019 Hwy 40 East, St. Marys, GA 31558 | 2011-12-13 |
| 1932486271 | Sarah Jo Meyers | Speech-Language Pathologist | 2015 Osborne Rd, Unit A, St Marys, GA 31558 | 2011-11-15 |
| Find all providers in zip 31558 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194130278 | George Keck Powell | General Practice | 317 Osprey Cir, Saint Marys, GA 31558-4143 | 2014-06-26 |
| 1164410247 | Teresita P Dejosef | General Practice | 111 Lafayette St, Suite 201, Saint Marys, WV 26170-1059 | 2005-10-12 |
| 1497947998 | Matthew C Riesen | General Practice | 1132 Hager St, Saint Marys, OH 45885-2423 | 2007-08-17 |
| 1992802342 | Jimmy Arturo Malaver-reyes | General Practice | 214 Professional Cir Ste A, Saint Marys, GA 31558-3783 | 2006-09-20 |
| 1407866262 | Michael C Josey | General Practice | 1040 Hager St, Saint Marys, OH 45885-2421 | 2006-08-08 |
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| Find all providers with the same taxonomy | ||||
| City | SAINT MARYS |
| Zip Code | 31558 |
Please comment or provide details below to improve the information on COASTLINE PHYSICAL MEDICINE AND REHABILITATION INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.