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COASTAL COMMUNITY HEALTH SERVICES, INC.
NPI 1043932924
Pharmacy - Community/Retail Pharmacy in Brunswick, GA

Active since September 16, 2022CLIA Certified · 5 labs
1600 ELLIS ST, BRUNSWICK, GA 31520(912) 574-5279(912) 785-2147 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Coastal Community Health Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL COMMUNITY HEALTH SERVICES, INC. (NPI 1043932924) is a healthcare organization registered as a community/retail pharmacy in Brunswick, Georgia and active in the NPI registry since September 2022. The organization holds 5 active CLIA laboratory certificates and lists Kavanaugh Chandler, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043932924
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCOASTAL COMMUNITY HEALTH SERVICES, INC.
Location Address1600 ELLIS STBrunswick, GA 31520-6737
Mailing Address106 Shoppers Way Ste 114Brunswick, GA 31525-0522 · (912) 275-8028 · Fax (912) 275-8610
Phone(912) 574-5279
Fax(912) 785-2147
Organization SubpartNo
Authorized OfficialKavanaugh ChandlerCeo · (912) 275-8028
Enumeration DateSeptember 16, 2022
NPPES CertifiedSeptember 16, 2022
✔ NPI 1043932924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
1600 ELLIS ST, Brunswick, GA 31520
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2127306

Coastal Community Health Services, Inc · Brunswick, GA
Active · expires Mar 12, 2027
CLIA Number11D2127306
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 13, 2025
Certificate Expiration DateMarch 12, 2027
Laboratory DirectorBriana Gray
Laboratory Phone(912) 275-8028
Laboratory LocationCoastal Community Health Services, Inc1600 Ellis Street, Brunswick, GA 31520
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2291546

Coastal Community Health · Richmond Hill, GA
Active · expires Oct 11, 2027
CLIA Number11D2291546
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorBriana Gray
Laboratory Phone(912) 275-8028
Laboratory LocationCoastal Community Health10055 Ford Avenue 4-A, Richmond Hill, GA 31324
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2295303

Coastal Community Health - Woodbine Clinic · Woodbine, GA
Active · expires Dec 7, 2027
CLIA Number11D2295303
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 8, 2025
Certificate Expiration DateDecember 7, 2027
Laboratory DirectorBriana Gray
Laboratory Phone(912) 275-8028
Laboratory LocationCoastal Community Health - Woodbine Clinic308 Bedell Avenue, Woodbine, GA 31569
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2295304

Coastal Community Health - Waynesville Clinic · Waynesville, GA
Active · expires Dec 7, 2027
CLIA Number11D2295304
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 8, 2025
Certificate Expiration DateDecember 7, 2027
Laboratory DirectorTania Edwards
Laboratory Phone(912) 275-8028
Laboratory LocationCoastal Community Health - Waynesville Clinic21300 Hwy 82, Suite C, Waynesville, GA 31566
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2291558

Coastal Community Health - Tiger Clinic · Darien, GA
Active · expires Oct 11, 2027
CLIA Number11D2291558
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorTania Edwards
Laboratory Phone(912) 275-8028
Laboratory LocationCoastal Community Health - Tiger Clinic1102 Ca Devillares Road, Darien, GA 31305
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENDALL DISA BOGES LPC
Counselor (Professional)
1600 ELLIS ST
BRUNSWICK, GA 31520
Glynn County (912) 289-1626
NICHOLE L MUCHISON FNP-BC
Nurse Practitioner (Family)
1600 ELLIS ST
BRUNSWICK, GA 31520
Glynn County (912) 289-2006
MANOUCHKA L ETIENNE PA-C
Physician Assistant (Medical)
1600 ELLIS ST
BRUNSWICK, GA 31520
Glynn County (912) 289-2006
COASTAL COMMUNITY HEALTH SERVICES INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1600 ELLIS ST
BRUNSWICK, GA 31520
Glynn County (912) 289-2006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Community Health Services, Inc.'s NPI number?

The NPI number for Coastal Community Health Services, Inc. is 1043932924. It was assigned to this organization in the NPPES registry on September 16, 2022.

Where is Coastal Community Health Services, Inc. located?

Coastal Community Health Services, Inc. is located at 1600 Ellis St, Brunswick, GA 31520. The listed phone number is (912) 574-5279.

What is Coastal Community Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Coastal Community Health Services, Inc. hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Coastal Community Health Services, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 45 other insurers list Coastal Community Health Services, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coastal Community Health Services, Inc. was last updated on September 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.