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COASTAL CARE INC
NPI 1538367149
Clinic/Center - Primary Care in Waycross, GA

Active since July 05, 2007
1405 ALICE ST, WAYCROSS, GA 31501(912) 285-8822(912) 490-4870 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coastal Care Inc NPPES

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

COASTAL CARE INC (NPI 1538367149) is a healthcare organization registered as a primary care in Waycross, Georgia and active in the NPI registry since July 2007. The organization lists Warren S Theis, Owner, as its authorized official.

NPPES Registry Identity

NPI1538367149
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCOASTAL CARE INC
Location Address1405 ALICE STWaycross, GA 31501-4528
Mailing Address1405 Alice StWaycross, GA 31501-4528 · (912) 285-8822 · Fax (912) 490-4870
Phone(912) 285-8822
Fax(912) 490-4870
Organization SubpartNo
Authorized OfficialWarren S TheisOwner · (912) 285-8822
Enumeration DateJuly 5, 2007
Last NPPES UpdateJuly 1, 2024
✔ NPI 1538367149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in GA · 055345
Also ListedClinic/CenterTaxonomy 261Q00000X · License 055345 (GA)
1405 ALICE ST, Waycross, GA 31501
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Other Identifiers 1

Medicaid672694005AGA

Other Providers at the Same Location NPPES 5

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

MEDFAST 2
Legal Medicine
1405 ALICE ST
WAYCROSS, GA 31501
Ware County (912) 285-3157
CRH PHYSICIAN PRACTICES LLC
Surgery
1405 ALICE ST
WAYCROSS, GA 31501
Ware County (912) 384-5832
MR. GERARDO ALBERTO KLUG M.D.
Legal Medicine
1405 ALICE ST
WAYCROSS, GA 31501
Ware County (912) 285-3157
CHERYL A KLUG F.N.P. C
Legal Medicine
1405 ALICE ST
WAYCROSS, GA 31501
Ware County (912) 285-3157
DR. WARREN STUART THEIS M.D.
General Practice
1405 ALICE ST
WAYCROSS, GA 31501
Ware County (912) 285-8822

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 Care Inc's NPI number?

The NPI number for Coastal Care Inc is 1538367149. It was assigned to this organization in the NPPES registry on July 5, 2007.

Where is Coastal Care Inc located?

Coastal Care Inc is located at 1405 Alice St, Waycross, GA 31501. The listed phone number is (912) 285-8822.

What is Coastal Care Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Coastal Care Inc was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.