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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 049393 | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00900798E | 05 | |
| GA | 00900798G | 05 | |
| GA | 00900798F | 05 | |
| GA | 00900798C | 05 | |
| GA | 00900798D | 05 | |
| SC | 049393 | 05 |
| Other Name | Type Code |
|---|---|
| COASTAL MEDICAL SPECIALISTS IN LUNG & CRITICAL CARE, PC | Other Name - Individual/Organization |
| Street Address |
455 S MAIN ST SUITE 105 |
| City | HINESVILLE |
| State | GA |
| Zip Code | 31313-4353 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 31313 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | HINESVILLE |
| Zip Code | 31313 |
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| 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.