COASTAL MEDICAL SPECIALISTS


Address: 455 S Main St, Suite 105, Hinesville, GA 31313-4353
Phone: 9123695864

COASTAL MEDICAL SPECIALISTS (NPI# 1952579666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952579666
Entity Type Organization
Organization Name COASTAL MEDICAL SPECIALISTS
Other Organization Name COASTAL MEDICAL SPECIALISTS IN LUNG & CRITICAL CARE, PC
Practice Address 455 S Main St
Suite 105
Hinesville
GA 31313-4353
Mailing Address 3710 Waters Ave
Savannah
GA 31404-6209
Practice Telephone 9123695864
Mailing Telephone 9123547679
Enumeration Date 2008-02-15
Last Update Date 2008-02-15
Authorized Official Name KIMBERLY LASHAWN DAVIS (OFFICE MANAGER)
Authorized Official Telephone 9123547679
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 049393 GA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 00900798E 05
GA 00900798G 05
GA 00900798F 05
GA 00900798C 05
GA 00900798D 05
SC 049393 05

Other Provider/Organization Names

Other Name Type Code
COASTAL MEDICAL SPECIALISTS IN LUNG & CRITICAL CARE, PC Other Name - Individual/Organization

Office Location

Street Address 455 S MAIN ST
SUITE 105
City HINESVILLE
State GA
Zip Code 31313-4353

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205457637 The Neurological Institute of Savannah & Center for Spine, PC Neurological Surgery 455 S Main St, Hinesville, GA 31313-4353 2020-04-27
1871980458 Tattnall Hospital Company, LLC Neurological Surgery 455 S Main St, Suite 106, Hinesville, GA 31313-4353 2015-04-21
1962899542 Optim Orthopedics, LLC Orthopaedic Surgery 455 S Main St, Suite 106, Hinesville, GA 31313-4353 2015-04-21
1215378526 Liberty Orthopedics and Sports Medicine Orthopaedic Surgery 455 S Main St, Ste 106, Hinesville, GA 31313-4353 2013-07-15
1861762007 Allied Health Systems Counselor 455 S Main St, Hinesville, GA 31313-4353 2012-01-05
1003105727 Christine A. Swords Nurse Practitioner 455 S Main St, Suite 201, Hinesville, GA 31313-4353 2011-04-04
1225285182 Tometricia Brown Pediatrics 455 S Main St, Suite 101, Hinesville, GA 31313-4353 2008-08-22
1972763043 Ophelia P Gherman Family Medicine 455 S Main St, Suite 104, Hinesville, GA 31313-4353 2008-06-12
1689878084 Kathleen Cools Obstetrics & Gynecology 455 S Main St, Suite 202, Hinesville, GA 31313-4353 2007-06-12
1326197765 Phillip's Pediatrics PC Exclusive Provider Organization 455 S Main St, Ste 101, Hinesville, GA 31313-4353 2007-01-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447877469 Brennan Roger Milbury Naturopath 4876 Ga 196 W, Hinesville, GA 31313 2020-06-26
1558982660 Hinesville Day Spa LLC Massage Therapist 951 E G Miles Pkwy, Suite B, Hinesville, GA 31313 2020-04-29
1104459932 Johnny Roger Terry Counselor 115 W Oglethorpe Hwy, Hinesville, GA 31313 2020-02-20
1043875594 Liberty Regional Medical Center Pharmacy 462 Elma G. Miles Parkway, Hinesville, GA 31313 2019-05-09
1730646811 Jennifer Lee Reffeor Nurse Practitioner 109 W Oglethorpe Highway, Hinesville, GA 31313 2019-02-26
1760907968 Kenya Dominic Specialist 445 E.g. Miles Parkway Ste 207, Hinesville, GA 31313 2017-08-08
1902358393 Tricia Amelung Nurse Practitioner 512 South Main St., Suite 1a, Hinesville, GA 31313 2016-11-01
1881065449 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 801-a East General Stewart Way, Hinesville, GA 31313 2015-10-08
1245614916 Tracey Bazemore Counselor 318 S. Wellborn Street, Suite C, Hinesville, GA 31313 2015-07-13
1831592021 Jennifer Grisnik Behavioral Analyst 306 N. Main St., Suite 1a1, Hinesville, GA 31313 2014-10-01
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649888785 Valeria Kim West Specialist 204 W Oglethorpe Hwy, Hinesville, GA 31313-3615 2020-07-15
1962804484 Lorraine Davis Fleetwood Specialist 911 Mandarin Dr, Hinesville, GA 31313-6303 2014-09-17
1649451576 Robert G. Carter Specialist 109 West Oglethorpe Highway, Hinesville, GA 31313 2007-11-20
1861554354 Comprehensive Obgyn Health Center Specialist 455 S Main St, Suite 202, Hinesville, GA 31313-4353 2006-12-14
1255406328 Coastal Orthopaedics and Sports Medicine Center Specialist 455 S Main St, Suite 106, Hinesville, GA 31313-4353 2006-11-22
1346338878 Seth A Borquaye Specialist 455 S Main St, Suite 202, Hinesville, GA 31313-4353 2006-10-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073113718 Jennifer Lynn Harper Specialist 46 Rice Lewis Gilliard Dr, Toccoa, GA 30577-3683 2020-10-30
1265030407 Sandra W Paul Specialist 4185 Glad Morning Dr, Atlanta, GA 30349-3902 2020-10-10
1851907992 Diana Rowe Specialist 35 Homeplace Dr, Covington, GA 30016-8539 2020-09-23
1053926154 Idoc Virtual Neuro Critical Care LLC Specialist 159 E Wesley Rd Ne, Atlanta, GA 30305-3707 2020-09-15
1649885179 Rakiya Parker Specialist 4814 Stone Mountain Hwy Ste 9, Lilburn, GA 30047-4649 2020-09-11
1225658511 Louis P Towles IIi Specialist 755 Commerce Dr Ste 600, Decatur, GA 30030-2619 2020-04-16
1316566755 Kindle-simone Friedlander Specialist 13988 Sunfish Bnd, Alpharetta, GA 30004-0605 2020-04-15
1184252595 Peachtree Surgical Assistants Inc Specialist 59 Anderson Ave Apt 127, Canton, GA 30114-2330 2020-03-31
1164056859 Bimal R Shah Md PC Specialist 820 Saint Sebastian Way Ste 2a, Augusta, GA 30901-2636 2020-03-03
1083246581 Georgia Neuro Pain Therapy Specialist 4330 S Lee St Ste 600b, Buford, GA 30518-6197 2020-02-12
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Competitor

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City HINESVILLE
Zip Code 31313

Improve Information

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Dataset Information

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.

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