Coastal Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

51088 Issued in GA

Legal business name

COASTAL PEDIATRICS, LLC

Practice address

2 Wheeler St
Savannah, GA 31405-5700

Phone

(912) 353-7744

Fax

(912) 355-9124

NPI assigned

May 28, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Naomi J. Brist

Title

Practice Manager

Phone

(912) 353-7744

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

Tax ID family

Coastal Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coastal Pediatrics, LLC

  dba Coastal Pediatrics

  • Pediatrics Physician
  • Pooler, GA
  • NPI 1659418077
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dudley W Stone, M.D.

  • Pediatrics Physician
  • Savannah, GA
  • NPI 1447316880
  NPD

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1922327055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WHEELER ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055700",
            "telephone_number": "912-353-7744",
            "fax_number": "912-355-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WHEELER ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055700",
            "telephone_number": "912-353-7744",
            "fax_number": "912-355-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "BRIST",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "912-353-7744",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "51088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Medical Specialists in Lung & Critical Care, PC
• Coastal Neurosurgical Consultants, LLC
• Coastal Nutrition Consulting LLC
• Coastal Pain Relief Consultants, LLC (LifeStem)
• Coastal Pediatric Therapies, LLC
• Coastal Pharmacy Labs LLC (Coastal Compounding Pharmacy)
• Coastal Psychology, LLC
• Coastal Respiratory Associates
• Coastal Retina Institute, LLC
• Coastal Rheumatology, LLC

• Pediatrics Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.