COASTAL PAIN CENTER, LLC
NPI 1114454634
Clinic/Center - Ambulatory Surgical in Waycross, GA

Active since May 15, 2017
306 ISABELLA ST, WAYCROSS, GA 31501(912) 466-9111 Get Directions Write a Review

NPPES record last updated: May 15, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Coastal Pain Center, Llc NPPES

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

COASTAL PAIN CENTER, LLC (NPI 1114454634) is a healthcare organization registered as an ambulatory surgical in Waycross, Georgia and active in the NPI registry since May 2017. The organization lists Kevin Coyle, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1114454634
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCOASTAL PAIN CENTER, LLC
Location Address306 ISABELLA STWaycross, GA 31501-3636
Mailing Address3221 Glynn AveBrunswick, GA 31520-4851
Organization SubpartYes
Authorized OfficialKevin CoyleOwner/physician · (912) 466-9111
Enumeration DateMay 15, 2017
NPI 1114454634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
306 ISABELLA ST, Waycross, GA 31501

Other Providers at the Same Location NPPES 6

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

Pain Medicine (Interventional Pain Medicine)
306 ISABELLA ST
WAYCROSS, GA 31501
Physician Assistant
306 ISABELLA ST
WAYCROSS, GA 31501
Nurse Anesthetist, Certified Registered
306 ISABELLA ST
WAYCROSS, GA 31501
Nurse Practitioner
306 ISABELLA ST
WAYCROSS, GA 31501
Clinic/Center (Ambulatory Surgical)
306 ISABELLA ST
WAYCROSS, GA 31501
Clinic/Center (Urgent Care)
306 ISABELLA ST
WAYCROSS, GA 31501

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 Pain Center, LLC's NPI number?

The NPI number for Coastal Pain Center, LLC is 1114454634. It was assigned to this organization in the NPPES registry on May 15, 2017.

Where is Coastal Pain Center, LLC located?

Coastal Pain Center, LLC is located at 306 Isabella St, Waycross, GA 31501. The listed phone number is (912) 466-9111.

What is Coastal Pain Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Coastal Pain Center, LLC was last updated on May 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.