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SOUTHERN COASTAL ENT PC
NPI 1104905405
Otolaryngology in Brunswick, GA

Active since November 06, 2006
2500 STARLING ST, SUITE 403, BRUNSWICK, GA 31520(912) 265-3210(912) 265-1481 Get Directions Write a Review

NPPES record last updated: July 15, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Coastal Ent Pc NPPES

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

SOUTHERN COASTAL ENT PC (NPI 1104905405) is a healthcare organization registered as an otolaryngology in Brunswick, Georgia and active in the NPI registry since November 2006. The organization lists Sherman A Stevenson, Owner, as its authorized official.

NPPES Registry Identity

NPI1104905405
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameSOUTHERN COASTAL ENT PC
Location Address2500 STARLING ST, SUITE 403Brunswick, GA 31520-4265
Mailing Address2500 Starling St, Suite 403Brunswick, GA 31520-4265 · (912) 265-3210 · Fax (912) 265-1481
Phone(912) 265-3210
Fax(912) 265-1481
Organization SubpartNo
Authorized OfficialSherman A StevensonOwner · (912) 265-3210
Enumeration DateNovember 6, 2006
Last NPPES UpdateJuly 15, 2008
✔ NPI 1104905405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in GA · 057327
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
2500 STARLING ST, Brunswick, GA 31520
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Other Identifiers 3

Medicare UPINH13394GA
Medicare PIN511G700181GA
Medicaid078903405AGA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 20

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

FATIMA GHAFFAR M.D.
Student in an Organized Health Care Education/Training Program
2500 STARLING ST, SUITE 403
BRUNSWICK, GA 31520
Glynn County (912) 466-7562
COASTAL NEUROLOGY AND NEUROSURGERY
Psychiatry & Neurology (Neurology)
2500 STARLING ST, SUITE 506
BRUNSWICK, GA 31520
Glynn County (912) 264-9670
STEVEN T. BARR M.D.
Plastic Surgery
2500 STARLING ST, SUITE 603
BRUNSWICK, GA 31520
Glynn County (912) 280-9977
JOSEPH ANTHONY LANZONE JR. M.D.
Urology
2500 STARLING ST, SUITE 406
BRUNSWICK, GA 31520
Glynn County (912) 261-0447
DR. MATTHEW C D ELLER D.P.M.
Podiatrist (Foot & Ankle Surgery)
2500 STARLING ST, SUITE 301
BRUNSWICK, GA 31520
Glynn County (912) 265-4766
DR. BRETT A BODAMER D.P.M.
Podiatrist (Foot & Ankle Surgery)
2500 STARLING ST, SUITE 301
BRUNSWICK, GA 31520
Glynn County (912) 265-4766
NEIL E GOODMAN MD PC
Pediatrics (Adolescent Medicine)
2500 STARLING ST, SUITE # 401
BRUNSWICK, GA 31520
Glynn County (912) 554-0544
MS. MELISSA ANNE MINIX R.PH.
Pharmacist
2500 STARLING ST, SUITE 102
BRUNSWICK, GA 31520
Glynn County (912) 265-7000

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 Southern Coastal Ent PC's NPI number?

The NPI number for Southern Coastal Ent PC is 1104905405. It was assigned to this organization in the NPPES registry on November 6, 2006.

Where is Southern Coastal Ent PC located?

Southern Coastal Ent PC is located at 2500 Starling St Suite 403, Brunswick, GA 31520. The listed phone number is (912) 265-3210.

What is Southern Coastal Ent PC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

What insurance does Southern Coastal Ent PC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Southern Coastal Ent PC 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 Southern Coastal Ent PC was last updated on July 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.