Coastal Allergy & Asthma PC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

COASTAL ALLERGY & ASTHMA PC

Practice address

505 Eisenhower Dr
Savannah, GA 31406-2668

Phone

(912) 354-6190

Fax

(912) 354-6172

NPI assigned

Jun 1, 2006

Last updated

Nov 4, 2022By 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

Tessie J Adams, CMPE

Title

Practice Administrator

Phone

(912) 354-6190

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Jennifer Kay Appleyard, MD

  • Allergy & Immunology Physician
  • Savannah, GA
  • NPI 1255330486
  Medicare reassignment NPD
• Bruce D Finkel, MD

  • Allergy & Immunology Physician
  • Savannah, GA
  • NPI 1972562668
  Medicare reassignment NPD
• Wendy Futch, NP

  • Acute Care Nurse Practitioner
  • Statesboro, GA
  • NPI 1386010478
  Medicare reassignment NPD
• Brad Henry Goodman, M. D.

  • Allergy & Immunology Physician
  • Savannah, GA
  • NPI 1407816432
  Medicare reassignment NPD
• Monica Rama Kenney, M. D.

  • Allergy & Immunology Physician
  • Savannah, GA
  • NPI 1255390829
  Medicare reassignment NPD
• Lisanne P Newton, M.D.

  • Allergy & Immunology Physician
  • Brunswick, GA
  • NPI 1831368323
  Medicare reassignment NPD

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1992742845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 EISENHOWER DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062668",
            "telephone_number": "912-354-6190",
            "fax_number": "912-354-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 EISENHOWER DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062668",
            "telephone_number": "912-354-6190",
            "fax_number": "912-354-6172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Starling St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315204266",
            "country_code": "US",
            "telephone_number": "912-354-6190",
            "fax_number": "912-354-6172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Hill Pond Ln",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304580872",
            "country_code": "US",
            "telephone_number": "912-354-6190",
            "fax_number": "912-354-6172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1219 Merchant Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304580885",
            "country_code": "US",
            "telephone_number": "912-354-6190",
            "fax_number": "912-354-6172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL ALLERGY & ASTHMA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "TESSIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "912-354-6190",
        "authorized_official_credential": "CMPE"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Frederick Clinton
• Brian Close, MD
• Christadora Clymer, LPC
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• Allergy & Immunology Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Allergy & Immunology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.