COASTAL CARE MANAGEMENT SERVICES LLC
NPI 1710869250
Internal Medicine in Savannah, GA

Active since July 24, 2025CLIA 11D2328470 · Waiver
4 SKIDAWAY VILLAGE WALK STE B, SAVANNAH, GA 31411(912) 598-6312 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2025, Nov 18, 2025, Aug 5, 2025 (3 updates tracked since 2025).

About Coastal Care Management Services Llc NPPES

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

COASTAL CARE MANAGEMENT SERVICES LLC (NPI 1710869250), doing business as Coastal Care Vitality, is a healthcare organization registered as an internal medicine in Savannah, Georgia and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through August 10, 2027 and lists Merlan Powell, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1710869250
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOASTAL CARE MANAGEMENT SERVICES LLC
Location Address4 SKIDAWAY VILLAGE WALK STE BSavannah, GA 31411-2962
Mailing Address4 Skidaway Village Walk Ste BSavannah, GA 31411-2962 · (912) 598-6312 · Fax (912) 480-9897
Organization SubpartNo
Authorized OfficialMerlan PowellExecutive Director · (912) 598-6312
Enumeration DateJuly 24, 2025
Last NPPES UpdateDecember 19, 20253 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
NPI 1710869250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X
4 SKIDAWAY VILLAGE WALK STE B, Savannah, GA 31411

Other Names 1

Doing Business AsCoastal Care Vitality

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 Waiver 11D2328470

Coastal Care Management Services, LLC · Savannah, GA
Active · expires Aug 10, 2027
CLIA Number11D2328470
Laboratory TypePhysician Office
Certificate Effective DateAugust 11, 2025
Certificate Expiration DateAugust 10, 2027
Laboratory DirectorShonna Mcgee
Laboratory Phone(912) 598-6312
Laboratory LocationCoastal Care Management Services, LLC2 Skidaway Village Walk, Suite C, Savannah, GA 31411
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner
4 SKIDAWAY VILLAGE WALK STE B
SAVANNAH, GA 31411
Internal Medicine
4 SKIDAWAY VILLAGE WALK STE B
SAVANNAH, GA 31411
Nurse Practitioner (Acute Care)
4 SKIDAWAY VILLAGE WALK STE B
SAVANNAH, GA 31411
Clinic/Center (Urgent Care)
4 SKIDAWAY VILLAGE WALK STE B
SAVANNAH, GA 31411
Nurse Practitioner (Family)
4 SKIDAWAY VILLAGE WALK STE B
SAVANNAH, GA 31411
Home Health
4 SKIDAWAY VILLAGE WALK STE B
SAVANNAH, GA 31411
Nurse Practitioner (Family)
4 SKIDAWAY VILLAGE WALK STE B
SAVANNAH, GA 31411
Family Medicine
4 SKIDAWAY VILLAGE WALK STE B
SAVANNAH, GA 31411

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 Management Services LLC's NPI number?

The NPI number for Coastal Care Management Services LLC is 1710869250. It was assigned to this organization in the NPPES registry on July 24, 2025. The provider is doing business as Coastal Care Vitality.

Where is Coastal Care Management Services LLC located?

Coastal Care Management Services LLC is located at 4 Skidaway Village Walk Ste B, Savannah, GA 31411. The listed phone number is (912) 598-6312.

What is Coastal Care Management Services LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Coastal Care Management Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2328470) is associated with this NPI, valid through August 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coastal Care Management Services LLC was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.