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COASTAL PEDIATRICS
NPI 1659418077
Pediatrics in Pooler, GA

Active since February 01, 2007CLIA Certified · 2 labs
1000 TOWNE CENTER BLVD STE 1000B, POOLER, GA 31322(912) 353-7744(912) 348-3589 Get Directions Write a Review

NPPES record last updated: August 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2018, Aug 3, 2018 (2 updates tracked since 2018).

About Coastal Pediatrics NPPES

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

COASTAL PEDIATRICS (NPI 1659418077) is a healthcare organization registered as a pediatrics in Pooler, Georgia and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Dudley W. Stone, Owner, as its authorized official.

NPPES Registry Identity

NPI1659418077
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCOASTAL PEDIATRICS, LLC
Location Address1000 TOWNE CENTER BLVD STE 1000BPooler, GA 31322
Mailing Address1000 Towne Center Blvd Ste 1000bPooler, GA 31322-4129 · (912) 353-7744 · Fax (912) 348-3589
Phone(912) 353-7744
Fax(912) 348-3589
Organization SubpartNo
Authorized OfficialDudley W. StoneOwner · (912) 353-7744
Enumeration DateFebruary 1, 2007
Last NPPES UpdateAugust 17, 20182 updates tracked since enumeration
✔ NPI 1659418077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 051088
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1000 TOWNE CENTER BLVD STE 1000B, Pooler, GA 31322
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Other Names 1

Doing Business AsCoastal Pediatrics

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 11D1051035

Coastal Pediatrics · Savannah, GA
Active · expires Nov 26, 2027
CLIA Number11D1051035
Laboratory TypePhysician Office
Certificate Effective DateNovember 27, 2025
Certificate Expiration DateNovember 26, 2027
Laboratory DirectorDudley Stone
Laboratory Phone(912) 353-7744
Laboratory LocationCoastal Pediatrics2 Wheeler Street, Savannah, GA 31405
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 11D2168149

Coastal Pediatrics · Pooler, GA
Active · expires Nov 26, 2027
CLIA Number11D2168149
Laboratory TypePhysician Office
Certificate Effective DateNovember 27, 2025
Certificate Expiration DateNovember 26, 2027
Laboratory DirectorDudley Stone
Laboratory Phone(912) 353-7744
Laboratory LocationCoastal Pediatrics1000 Town Center Boulevard, Building 1000 B, Pooler, GA 31322
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 2

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

MRS. GISELLE M ROSINIA MD
Pediatrics
1000 TOWNE CENTER BLVD STE 1000B
POOLER, GA 31322
Chatham County (912) 353-7744
DR. JASON TYLER WILLIAMS D.O.
Pediatrics
1000 TOWNE CENTER BLVD STE 1000B
POOLER, GA 31322
Chatham County (912) 353-7744

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 Pediatrics, LLC's NPI number?

The NPI number for Coastal Pediatrics, LLC is 1659418077. It was assigned to this organization in the NPPES registry on February 1, 2007. The provider is doing business as Coastal Pediatrics.

Where is Coastal Pediatrics, LLC located?

Coastal Pediatrics, LLC is located at 1000 Towne Center Blvd Ste 1000B, Pooler, GA 31322. The listed phone number is (912) 353-7744.

What is Coastal Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Coastal Pediatrics, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Coastal Pediatrics, LLC was last updated on August 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.