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COASTAL FOOT AND ANKLE SPECIALIST, LLC
NPI 1629447511
Podiatrist - Foot & Ankle Surgery in Brunswick, GA

Active since September 21, 2015
10 PROFESSIONAL DR, BRUNSWICK, GA 31520(912) 265-0709(912) 264-5712 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 17, 2017, Oct 14, 2016 (2 updates tracked since 2016).

About Coastal Foot And Ankle Specialist, Llc NPPES

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

COASTAL FOOT AND ANKLE SPECIALIST, LLC (NPI 1629447511) is a healthcare organization registered as a foot & ankle surgery in Brunswick, Georgia and active in the NPI registry since September 2015. The organization lists Larry Benton Dyal, Owner, as its authorized official.

NPPES Registry Identity

NPI1629447511
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameCOASTAL FOOT AND ANKLE SPECIALIST, LLC
Location Address10 PROFESSIONAL DRBrunswick, GA 31520-3774
Mailing Address10 Professional DrBrunswick, GA 31520-3774 · (912) 265-0709 · Fax (912) 264-5712
Phone(912) 265-0709
Fax(912) 264-5712
Organization SubpartNo
Authorized OfficialLarry Benton DyalOwner · (912) 266-3649
Enumeration DateSeptember 21, 2015
Last NPPES UpdateJune 24, 20262 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1629447511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in GA · POD000997
10 PROFESSIONAL DR, Brunswick, GA 31520
Open in Google Maps ↗

Other Identifiers 1

Medicaid400885615DGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coastal Foot And Ankle Specialist, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Coastal Foot And Ankle Specialist, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Larry Dyal, DPM
Podiatry
NPI 1871581744
10 PROFESSIONAL DR
Brunswick, GA 31520
(912) 265-0709
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Foot And Ankle Specialist, LLC's NPI number?

The NPI number for Coastal Foot And Ankle Specialist, LLC is 1629447511. It was assigned to this organization in the NPPES registry on September 21, 2015.

Where is Coastal Foot And Ankle Specialist, LLC located?

Coastal Foot And Ankle Specialist, LLC is located at 10 Professional Dr, Brunswick, GA 31520. The listed phone number is (912) 265-0709.

What is Coastal Foot And Ankle Specialist, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Coastal Foot And Ankle Specialist, LLC enrolled in Medicare?

Yes. Coastal Foot And Ankle Specialist, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Foot And Ankle Specialist, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Coastal Foot And Ankle Specialist, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Coastal Foot And Ankle Specialist, LLC was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.