Coastal Medical Arts, LLC

Primary specialty

Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X

License

53170 Issued in GA

Legal business name

COASTAL MEDICAL ARTS, LLC

Practice address

103 E General Stewart Way
Suite B
Hinesville, GA 31313-2607

Phone

(912) 332-5621

Fax

(912) 232-9701

NPI assigned

Oct 9, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Sarita Harvey

Title

Billing Manager

Phone

(912) 232-9700

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1396149076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 CATHERINE VW",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313245175",
            "telephone_number": "912-232-9700",
            "fax_number": "912-232-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E GENERAL STEWART WAY",
            "address_2": "SUITE B",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313132607",
            "telephone_number": "912-332-5621",
            "fax_number": "912-232-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MEDICAL ARTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "SARITA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "912-232-9700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "GA",
            "license": "53170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark C Clayton, D.D.S.
• Tierra Clayton
• Hannah Clements, BCBA
• Mary Jennifer Close, NP
• Coastal Health District
• Coastal Medical Specialists
• Coastal Orthopaedics and Sports Medicine Center
• Coastal Pharmacy, Inc.
• Coastal Physicians Alliance, LP
• Shacari Cobb

• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Hinesville, GA
• Providers in Hinesville, GA by specialty
• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.