COASTAL COMMUNITY HEALTH SERVICES, INC.
NPI 1659123883
Clinic/Center - Federally Qualified Health Center (FQHC) in St Simons Island, GA
About Coastal Community Health Services, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTAL COMMUNITY HEALTH SERVICES, INC. (NPI 1659123883), doing business as Coastal Community Health St. Simon's Island Pediatrics, is a healthcare organization registered as a federally qualified health center (fqhc) in St Simons Island, Georgia and active in the NPI registry since April 2024. The organization lists Kavanaugh Chandler, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 Community Health Services, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
62Medicare enrollment records show 62 clinicians reassign Medicare billing to Coastal Community Health Services, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 62Source: 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 Community Health Services, Inc.'s NPI number?
The NPI number for Coastal Community Health Services, Inc. is 1659123883. It was assigned to this organization in the NPPES registry on April 2, 2024. The provider is doing business as Coastal Community Health St. Simon's Island Pediatrics.
Where is Coastal Community Health Services, Inc. located?
Coastal Community Health Services, Inc. is located at 7000 Wellness Way Ste 7230, St Simons Island, GA 31522. The listed phone number is (912) 466-5840.
What is Coastal Community Health Services, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Coastal Community Health Services, Inc. enrolled in Medicare?
Yes. Coastal Community Health Services, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coastal Community Health Services, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 62 clinicians in 6 Medicare specialties reassign their Medicare billing to Coastal Community Health Services, Inc.. 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. The largest specialties are Nurse Practitioner (38), Family Practice (13) and Pediatric Medicine (8). Of these, 2 practice at this address and 18 within 10 miles. 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 Community Health Services, Inc. was last updated on April 2, 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.
# Coastal Community Health Services, Inc. · NPI 1659123883
Federally Qualified Health Center (FQHC) organization in St Simons Island, Georgia. Organization record, active in the CMS NPPES registry since April 2, 2024.
## Identity
- **NPI:** 1659123883 (Entity type: Organization)
- **Enumerated:** April 2, 2024
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Coastal Community Health St. Simon's Island Pediatrics (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kavanaugh Chandler, CEO
## Practice location
- **Address:** 7000 WELLNESS WAY STE 7230, St Simons Island, GA 31522-2286
- **Phone:** (912) 466-5840
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 62 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (38), Family Practice (13), Pediatric Medicine (8); 2 practice at this address and 18 within 10 miles; [full list](https://npiprofile.com/npi/1659123883/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 2, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1659123883) · Data from the CMS NPPES public registry.