COASTAL COMMUNITY HEALTH SERVICES, INC.
NPI 1659123883
Clinic/Center - Federally Qualified Health Center (FQHC) in St Simons Island, GA
NPI Status: Active since April 02, 2024
Contact Information
7000 WELLNESS WAY STE 7230
ST SIMONS ISLAND, GA
ZIP 31522
Phone: (912) 466-5840
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 11D2272906
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 12-01-2026
About COASTAL COMMUNITY HEALTH SERVICES, INC.
This page provides the complete NPI Profile along with additional information for Coastal Community Health Services, Inc., a primary care provider established in St Simons Island, Georgia operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1659123883 assigned on April 2024. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Kavanaugh Chandler Md (Ceo)
- NPI
- 1659123883
- Provider Name
- COASTAL COMMUNITY HEALTH SERVICES, INC.
- Entity Type
- Organization
- Location Address
- 7000 WELLNESS WAY STE 7230 ST SIMONS ISLAND, GA 31522
- Location Phone
- (912) 466-5840
- Mailing Address
- 100 PROFESSIONAL CENTER DR BRUNSWICK, GA 31525
- Mailing Phone
- (912) 574-5075
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-02-2024
- Last Update Date
- 04-02-2024
- Code Navigator
A primary care provider (PCP) like Coastal Community Health Services, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2272906
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- December 02, 2024
- Certificate Expiration Date
- December 01, 2026
- Laboratory Director
- DR. BRIANA GRAY
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Coastal Community Health Services, Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 5 | 9 | 1 | 2 | 3 | 8 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 10 | 9 | 2 | 2 | 6 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 0 + 9 + 2 + 2 + 6 + 8 + 1 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1659123883 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1194712505 | MELINDA H PETERLIN MD Individual | Pediatrics | 7000 WELLNESS WAY STE 7230 ST SIMONS ISLAND, GA 31522 (912) 634-2795 |
| 1023040581 | DR. MELISSA A WOOD-KATZ MD Individual | Pediatrics | 7000 WELLNESS WAY STE 7230 ST SIMONS ISLAND, GA 31522 (912) 634-2795 |
| 1831652023 | MRS. LEANNA MEADE HOLLANDER DO Individual | Pediatrics | 7000 WELLNESS WAY STE 7230 ST SIMONS ISLAND, GA 31522 (912) 634-2795 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659123883, enumerated in the NPI registry as an "organization" on April 02, 2024
The provider is located at 7000 Wellness Way Ste 7230 St Simons Island, Ga 31522 and the phone number is (912) 466-5840
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider's CLIA number is 11D2272906 for a "federally qualified health center" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on April 02, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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