Organization Active NPI

Coastal Aesthetic & Reconstructive Surgery, LLC

  • Plastic Surgery Physician
  • Savannah, GA
National Provider Identifier
1609795566
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Anand Raj Kumar, MDNPI 1386614741
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.