Coastal Voice & Dysphagia Diagnostics, LLC

Organization Active NPI Multi-Specialty Clinic/Center · Statesboro, GA

NPI 1194358150 · NPPES record last updated Jul 30, 2025

Key facts

NPI
1194358150
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
COASTAL VOICE & DYSPHAGIA DIAGNOSTICS, LLC
Practice address
24 S Zetterower Ave
Statesboro, GA 30458-4866
Phone
(912) 299-2394
NPI assigned
Feb 18, 2020
Organization subpart
Yes
Parent organization (as reported)
COASTAL VOICE & DYSPHAGIA DIAGNOSTICS, LLC

Authorized official

Name
Sarah Rapillard, MS, CCC-SLP
Title
Owner, Speech-Language Pathologists
Phone
(912) 687-1026

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20200327001710 GA Part B Supplier - Clinic/Group Practice 6901235803 Receives reassigned benefits from 10 practitioners
Practice locations: Statesboro, GA

National Provider Directory

Part of
Coastal Voice Dysphagia Di

Locations

15 N College St
Statesboro, GA 30458
Phone (912) 687-1026

24 S Zetterower Ave
Statesboro, GA 30458
Phone (912) 299-2394

401 E 1st St
#B
Vidalia, GA 30474
Phone (912) 299-2394

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193400000X SINGLE SPECIALTY GROUP
235Z00000X
Multi-Specialty Clinic/Center 261QM1300X Yes
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

24 S Zetterower Ave
Statesboro, GA 30458-4866

Mailing address

PO Box 2356
Statesboro, GA 30459-2356
Phone (912) 687-1026

Other names

  • Coastal Plain Therapy & Wellness Doing business as

Other providers in Statesboro, GA

All providers in Statesboro, GA · Multi-Specialty Clinic/Center in Georgia

Sources for this page

Verify at the official NPI Registry.