COASTAL COMMUNITY HEALTH SERVICES, INC.
NPI 1871350090
Clinic/Center - Federally Qualified Health Center (FQHC) in Pooler, GA

Active since March 04, 2024CLIA 11D2302095 · Microscopy
2321 POOLER PARKWAY, SUITE 106, POOLER, GA 31322(912) 275-8028 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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 1871350090), doing business as Coastal Community Health - Pooler, is a healthcare organization registered as a federally qualified health center (fqhc) in Pooler, Georgia and active in the NPI registry since March 2024. The organization holds a CLIA Microscopy certificate valid through April 3, 2028 and lists Kavanaugh Chandler, Ceo, as its authorized official.

NPPES Registry Identity

NPI1871350090
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOASTAL COMMUNITY HEALTH SERVICES, INC.
Location Address2321 POOLER PARKWAY, SUITE 106Pooler, GA 31322
Mailing Address100 Professional Center DrBrunswick, GA 31525-6743 · (912) 574-5075
Organization SubpartNo
Authorized OfficialKavanaugh ChandlerCeo · (912) 275-8028
Enumeration DateMarch 4, 2024
NPPES CertifiedMarch 1, 2024
✔ NPI 1871350090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
2321 POOLER PARKWAY, Pooler, GA 31322

Other Names 1

Doing Business AsCoastal Community Health - Pooler

Accepted Insurance

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 for Provider-Performed Microscopy Procedures (PPMP) 11D2302095

Coastal Community Health - Pooler · Pooler, GA
Active · expires Apr 3, 2028
CLIA Number11D2302095
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 4, 2026
Certificate Expiration DateApril 3, 2028
Laboratory DirectorDr. Briana Gray
Laboratory Phone(912) 574-5076
Laboratory LocationCoastal Community Health - Pooler2321 Pooler Pkwy, Suite 107, Pooler, GA 31322
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

Pediatrics (Adolescent Medicine)
2321 POOLER PARKWAY, SUITE 102
POOLER, GA 31322

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 1871350090. It was assigned to this organization in the NPPES registry on March 4, 2024. The provider is doing business as Coastal Community Health - Pooler.

Where is Coastal Community Health Services, Inc. located?

Coastal Community Health Services, Inc. is located at 2321 Pooler Parkway Suite 106, Pooler, GA 31322. The listed phone number is (912) 275-8028.

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.

Does Coastal Community Health Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D2302095) is associated with this NPI, valid through April 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coastal Community Health Services, Inc. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Coastal Community Health Services, Inc. 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 Coastal Community Health Services, Inc. was last updated on March 4, 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.