Coastal Community Health Services Inc

A Medicare group practice based in Brunswick, GA: 19 NPIs enrolled under one PECOS associate control ID (PAC ID 0345463683), with 156 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0345463683The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
FL, GA
Enrollments
21
Group size
54 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
37In 13 places

Enrollment records 21

Enrollment IDStateProvider typeNPI
O20140514000961 GA Part A Provider - Federally Qualified Health Center (FQHC) 1609298751
O20140731001948 GA Part B Supplier - Clinic/Group Practice 1609298751
O20171110000169 GA Part A Provider - Federally Qualified Health Center (FQHC) 1972223162
O20171110000425 GA Part A Provider - Federally Qualified Health Center (FQHC) 1609298751
O20230418002342 GA Part A Provider - Federally Qualified Health Center (FQHC) 1811602378
O20231129003953 GA Part A Provider - Federally Qualified Health Center (FQHC) 1821779570
O20230731002962 GA Part A Provider - Federally Qualified Health Center (FQHC) 1235834045
O20241014004369 GA Part A Provider - Federally Qualified Health Center (FQHC) 1659123883
O20240717002228 GA Part A Provider - Federally Qualified Health Center (FQHC) 1134999006
O20240612001356 GA Part A Provider - Federally Qualified Health Center (FQHC) 1225808199
O20240821004423 GA Part A Provider - Federally Qualified Health Center (FQHC) 1568242824
O20240808002961 GA Part A Provider - Federally Qualified Health Center (FQHC) 1841042074
O20250321001250 GA Part A Provider - Federally Qualified Health Center (FQHC) 1992500912
O20250528003801 GA Part A Provider - Federally Qualified Health Center (FQHC) 1063282937
O20250519003435 GA Part A Provider - Federally Qualified Health Center (FQHC) 1013715325
O20250211002641 FL Part A Provider - Federally Qualified Health Center (FQHC) 1184440463
O20241112000857 FL Part B Supplier - Clinic/Group Practice 1851131874
O20241120002398 FL Part A Provider - Federally Qualified Health Center (FQHC) 1851131874
O20241216000709 GA Part A Provider - Federally Qualified Health Center (FQHC) 1871350090
O20251201000276 GA Part A Provider - Federally Qualified Health Center (FQHC) 1497554919
O20220607003401 GA Part A Provider - Federally Qualified Health Center (FQHC) 1609298751

NPIs in this group 19

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 156

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (156) or whom Care Compare lists as members (54).

Sources for this page