COASTAL CARE MANAGEMENT SERVICES LLC
NPI 1710869250
Internal Medicine in Savannah, GA
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
Specialties & Licenses 3
Other Names 1
Group Practice 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 Care Management Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Coastal Care Management Services LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, GAFrequently 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.
Is Coastal Care Management Services LLC enrolled in Medicare?
Yes. Coastal Care Management Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coastal Care Management Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Coastal Care Management Services LLC, in Internal Medicine and Nurse Practitioner. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 10 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.
# Coastal Care Management Services Llc · NPI 1710869250
Internal Medicine organization in Savannah, Georgia. Organization record, active in the CMS NPPES registry since July 24, 2025.
## Identity
- **NPI:** 1710869250 (Entity type: Organization)
- **Enumerated:** July 24, 2025
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Also known as:** Coastal Care Vitality (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Merlan Powell, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 4 SKIDAWAY VILLAGE WALK STE B, Savannah, GA 31411-2962
- **Phone:** (912) 598-6312
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Internal Medicine (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 19, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1710869250) · Data from the CMS NPPES public registry.