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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: August 09, 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
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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.

GOLDEN ISLES FOOT SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
10 PROFESSIONAL DR
BRUNSWICK, GA 31520
Glynn County (912) 264-6150
GARY M GROLEMUND DPM
Podiatrist
10 PROFESSIONAL DR
BRUNSWICK, GA 31520
Glynn County (912) 264-6150
GARY M. GROLEMUND, DPM PC
Podiatrist
10 PROFESSIONAL DR
BRUNSWICK, GA 31520
Glynn County (912) 264-6150
GARY M. GROLEMUND DPM
Durable Medical Equipment & Medical Supplies
10 PROFESSIONAL DR
BRUNSWICK, GA 31520
Glynn County (912) 264-6150
DR. LARRY B DYAL JR. DPM
Podiatrist (Foot & Ankle Surgery)
10 PROFESSIONAL DR
BRUNSWICK, GA 31520
Glynn County (912) 265-0709

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.

What insurance does Coastal Foot And Ankle Specialist, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Coastal Foot And Ankle Specialist, LLC 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 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 53 days 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.