COASTAL CARE MD, LLC
NPI 1881200772
Family Medicine in Savannah, GA
NPI Status: Active since September 16, 2020
Contact Information
4 SKIDAWAY VILLAGE WALK STE B
SAVANNAH, GA
ZIP 31411
Phone: (912) 598-6322
- Organization
- Family Medicine
- CLIA Number: 11D2193566
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 09-22-2026
About COASTAL CARE MD, LLC
This page provides the complete NPI Profile along with additional information for Coastal Care Md, Llc, a primary care provider established in Savannah, Georgia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1881200772 assigned on September 2020. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. John Scott Pierce (Chief Operating Officer)
- NPI
- 1881200772
- Provider Name
- COASTAL CARE MD, LLC
- Entity Type
- Organization
- Location Address
- 4 SKIDAWAY VILLAGE WALK STE B SAVANNAH, GA 31411
- Location Phone
- (912) 598-6322
- Mailing Address
- 4 SKIDAWAY VILLAGE WALK STE B SAVANNAH, GA 31411
- Mailing Phone
- (912) 598-6322
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-16-2020
- Last Update Date
- 04-07-2022
- Code Navigator
A primary care provider (PCP) like Coastal Care Md, Llc 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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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
- 11D2193566
- Facility Type
- Home Health Agency
- Certificate Effective Date
- September 23, 2024
- Certificate Expiration Date
- September 22, 2026
- Laboratory Director
- SANJAY IYER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Coastal Care Md, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for COASTAL CARE MD, LLC
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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 | 8 | 8 | 1 | 2 | 0 | 0 | 7 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 16 | 1 | 4 | 0 | 0 | 7 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 6 + 1 + 4 + 0 + 0 + 7 + 1 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1881200772 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1538807375 | COASTAL CARE MD, LLC Organization | Clinic/Center (Urgent Care) | 4 SKIDAWAY VILLAGE WALK STE B SAVANNAH, GA 31411 (912) 598-6322 |
| 1407226236 | ELIZABETH D CHILDRESS NP Individual | Nurse Practitioner (Acute Care) | 4 SKIDAWAY VILLAGE WALK STE B SAVANNAH, GA 31411 (912) 598-6322 |
| 1902338262 | AMANDA BRYAN DO Individual | Internal Medicine | 4 SKIDAWAY VILLAGE WALK STE B SAVANNAH, GA 31411 (912) 598-6312 |
| 1831385848 | MRS. NICOLE S JACKSON FNP Individual | Nurse Practitioner (Family) | 4 SKIDAWAY VILLAGE WALK STE B SAVANNAH, GA 31411 (912) 598-6312 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881200772, enumerated in the NPI registry as an "organization" on September 16, 2020
The provider is located at 4 Skidaway Village Walk Ste B Savannah, Ga 31411 and the phone number is (912) 598-6322
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider's CLIA number is 11D2193566 for a "home health agency" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 16, 2020. 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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