SOUTHCOAST MEDICAL GROUP, LLC
NPI 1861745119
Internal Medicine - Nephrology in Savannah, GA

Q: What is Southcoast Medical Group, LLC's NPI number?

The NPI number for Southcoast Medical Group, LLC is 1861745119. It was assigned to this organization in the NPPES registry on October 24, 2012.

Q: What is Southcoast Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since October 24, 2012

1326 EISENHOWER DR, SAVANNAH, GA 31406(912) 691-4100(912) 691-4209 Get Directions Write a Review

NPPES record last updated: October 24, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Southcoast Medical Group, Llc NPPES

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

SOUTHCOAST MEDICAL GROUP, LLC (NPI 1861745119) is a healthcare organization registered as a nephrology in Savannah, Georgia and active in the NPI registry since October 2012. The organization lists John Marrero, Administrator, as its authorized official.

NPPES Registry Identity

NPI1861745119

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameSOUTHCOAST MEDICAL GROUP, LLC

Location Address1326 EISENHOWER DRSavannah, GA 31406-3928

Mailing AddressPo Box 15849Savannah, GA 31416-2549 · (912) 303-3552 · Fax (912) 303-3506

Phone(912) 691-4100

Fax(912) 691-4209

Organization SubpartNo

Authorized OfficialJohn MarreroAdministrator · (912) 303-3552

Enumeration DateOctober 24, 2012

✔ NPI 1861745119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in GA · 047425

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 020999 (GA)

Also ListedInternal MedicineTaxonomy 207R00000X · License 038715 (GA)

Also ListedOphthalmologyTaxonomy 207W00000X · License 026247 (GA)

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 064752 (GA)

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 039937 (GA)

Also ListedPhysician AssistantTaxonomy 363A00000X · License 5306 (GA)

Also ListedNurse PractitionerTaxonomy 363L00000X · License RN077768 (GA)

1326 EISENHOWER DR, Savannah, GA 31406

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Other Identifiers 1

Medicare PINGRP2728GA

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

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 20

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

DR. ANDREW A WADE MD

Radiology (Diagnostic Radiology)

1326 EISENHOWER DR
SAVANNAH, GA 31406

Chatham County (912) 691-4200

JORDAN MANUEL

Physical Therapy Assistant

1326 EISENHOWER DR
SAVANNAH, GA 31406

Chatham County (912) 691-4250

DR. PETER CHRISTIAN MILLER M.D.

Family Medicine

1326 EISENHOWER DR, BUILDING 1
SAVANNAH, GA 31406

Chatham County (912) 691-4100

DR. THEODORE GEFFEN M.D.

Family Medicine

1326 EISENHOWER DR
SAVANNAH, GA 31406

Chatham County (912) 691-4100

DR. CHRISTOPHER JOHN OLDFIELD M.D.

Family Medicine

1326 EISENHOWER DR
SAVANNAH, GA 31406

Chatham County (912) 691-4100

DR. WASIL KHAN MD PHD

Internal Medicine (Allergy & Immunology)

1326 EISENHOWER DR, BLDG 2
SAVANNAH, GA 31406

Chatham County (912) 527-5335

DR. BENJAMIN LUTHER WATSON M.D.

Internal Medicine

1326 EISENHOWER DR, BLDG. 2
SAVANNAH, GA 31406

Chatham County (912) 527-5100

DR. STEPHEN GREGORY HENDRIX M.D.

Allergy & Immunology (Allergy)

1326 EISENHOWER DR, BLDG. 2
SAVANNAH, GA 31406

Chatham County (912) 527-5270

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 Southcoast Medical Group, LLC's NPI number?

The NPI number for Southcoast Medical Group, LLC is 1861745119. It was assigned to this organization in the NPPES registry on October 24, 2012.

Where is Southcoast Medical Group, LLC located?

Southcoast Medical Group, LLC is located at 1326 Eisenhower Dr, Savannah, GA 31406. The listed phone number is (912) 691-4100.

What is Southcoast Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

What insurance does Southcoast Medical Group, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Southcoast Medical Group, 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 Southcoast Medical Group, LLC was last updated on October 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.