Active NPI
Coastal Aesthetic & Reconstructive Surgery, LLC
- Plastic Surgery Physician
- Savannah, GA
National Provider Identifier
1609795566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- COASTAL AESTHETIC & RECONSTRUCTIVE SURGERY, LLC
- Practice address
- 613 Stephenson Ave Ste 101
Savannah, GA 31405-5985 - Phone
- (912) 228-4605
- Fax
- (912) 335-3461
- NPI assigned
- Jul 14, 2026
- Last updated
- Jul 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anand Raj Kumar, MD
- Title
- Physician Owner
- Phone
- (240) 481-2701
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | NU | Primary |
Addresses
Primary practice location
613 Stephenson Ave Ste 101
Savannah, GA 31405-5985
Mailing address
613 Stephenson Ave Ste 101
Savannah, GA 31405-5985
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Plastic Surgery Physician
- Savannah, GA
- NPI 1386614741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783987200000",
"number": "1609795566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 STEPHENSON AVE STE 101",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314055985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 STEPHENSON AVE STE 101",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314055985",
"telephone_number": "912-228-4605",
"fax_number": "912-335-3461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL AESTHETIC & RECONSTRUCTIVE SURGERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-14",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A",
"authorized_official_last_name": "KUMAR",
"authorized_official_first_name": "ANAND",
"authorized_official_middle_name": "RAJ",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "240-481-2701",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
- Cliniva Health, LLC (Cliniva Health)
- Charles Frederick Clinton
- Brian Close, MD
- Christadora Clymer, LPC
- CNW Therapy Consultants, Inc
- Coastal Allergy & Asthma PC
- Coastal Allergy Partners, LLC
- Coastal Ambulatory Anesthesia LLC
- Coastal Atlantic Day Habilitation & Treatment Center
- Coastal Cancer Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.