Coastal Healthcare LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COASTAL HEALTHCARE LLC

Doing business as

Coastal Healthcare

Practice address

204 Butler St
Midway, GA 31320-4596

Phone

(912) 884-9255

Fax

(912) 884-9257

NPI assigned

Nov 22, 2021

Last updated

Nov 22, 2021By 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

Ashley Peter Nagel, PHARMDNPI 1124691738

Title

Owner/Authorized Official

Phone

(912) 441-5240

Specialties & licenses 1

Addresses

Other names 1

• Coastal Healthcare Doing business as

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.

• Ashley Peter Nagel

  • Pharmacist
  • Midway, GA
  • NPI 1124691738
  Authorized official Same address or phone

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1700543071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 BUTLER ST",
            "city": "MIDWAY",
            "state": "GA",
            "postal_code": "313204596",
            "telephone_number": "912-884-9255",
            "fax_number": "912-884-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 BUTLER ST",
            "city": "MIDWAY",
            "state": "GA",
            "postal_code": "313204596",
            "telephone_number": "912-884-9255",
            "fax_number": "912-884-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "NAGEL",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "912-441-5240",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chaplain Ministries International Corp
• Renee Arnette Charlton Brown
• Coastal Drug Company LLC (Coastal Drug Company)
• Coastal Drug Company, LLC. (Coastal Drug Company LTC)
• Coastal Family Counseling, LLC
• Josephine C Coleman, LCSW, MAC
• Julia E Coleman
• Charity I Floyd, BCBA
• Theron Glenn Fox Jr.
• Gail Franklin

• Family Medicine Physician in Midway, GA
• Providers in Midway, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.