Coastal Community Retirement Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COASTAL COMMUNITY RETIREMENT CORPORATION

Practice address

111 Renegar Way
St. Simons Island, GA 31522

Phone

(912) 291-2038

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert B Rees

Title

Executive Director

Phone

(912) 291-2004

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588674261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 RENEGAR WAY",
            "city": "ST. SIMONS ISLAND",
            "state": "GA",
            "postal_code": "31522",
            "telephone_number": "912-291-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 RENEGAR WAY",
            "city": "ST. SIMONS ISLAND",
            "state": "GA",
            "postal_code": "31522",
            "telephone_number": "912-291-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL COMMUNITY RETIREMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "912-291-2004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Childers, PSY.D.
• Emily K Claros, DPT, PT
• Brandon R Clements, D.M.D.
• Coastal Community Health Services, Inc.
• Coastal Community Retirement Corporation
• Coastal Eye Care LLC
• Coastal Kids Dentistry
• Coastal Oral Surgery Associates
• Crane Physical Therapy and Wellness
• Mary Beth Currey, LPC

• All providers in St. Simons Island, GA
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.