Coastal Empire Orthopedics LLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

75377 Issued in GA

Legal business name

COASTAL EMPIRE ORTHOPEDICS LLC

Practice address

6715 Forest Park Dr
Savannah, GA 31406-2507

Phone

(912) 844-7513

NPI assigned

Nov 13, 2017

Last updated

Sep 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lori Wechsler

Title

Biller

Phone

(912) 844-7513

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Coastal Empire Orthopedics LLC Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24313/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James K Dean, N.P.

  • Nurse Practitioner
  • Savannah, GA
  • NPI 1790742674
  Medicare reassignment Care Compare group NPD
• Jonathan Michael Shults, MD.

  • Orthopaedic Surgery Physician
  • Savannah, GA
  • NPI 1013013101
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1396258323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 FOREST PARK DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062507",
            "telephone_number": "912-777-6920",
            "fax_number": "912-777-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 FOREST PARK DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062507",
            "telephone_number": "912-844-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL EMPIRE ORTHOPEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2025-09-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "WECHSLER",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "912-844-7513"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "GA",
            "license": "75377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003182543A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "southeasternmedicalbilling@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6715 Forest Park Dr",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314062507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Coastal Empire Orthopedics LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Coastal Health and Healing

• Sports Medicine (Orthopaedic Surgery) Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.