COASTAL COMMUNITY HEALTH SERVICES, INC.
NPI 1871350090
Clinic/Center - Federally Qualified Health Center (FQHC) in Pooler, GA
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
Specialties & Licenses
Other Names 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 Community Health Services, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
62Medicare enrollment records show 62 clinicians reassign Medicare billing to Coastal Community Health Services, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 62Source: 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 for Provider-Performed Microscopy Procedures (PPMP) 11D2302095
Coastal Community Health - Pooler · Pooler, 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 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.
Is Coastal Community Health Services, Inc. enrolled in Medicare?
Yes. Coastal Community Health Services, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coastal Community Health Services, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 62 clinicians in 6 Medicare specialties reassign their Medicare billing to Coastal Community Health Services, Inc.. 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. The largest specialties are Nurse Practitioner (38), Family Practice (13) and Pediatric Medicine (8). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
# Coastal Community Health Services, Inc. · NPI 1871350090
Federally Qualified Health Center (FQHC) organization in Pooler, Georgia. Organization record, active in the CMS NPPES registry since March 4, 2024.
## Identity
- **NPI:** 1871350090 (Entity type: Organization)
- **Enumerated:** March 4, 2024
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Coastal Community Health - Pooler (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kavanaugh Chandler, CEO
## Practice location
- **Address:** 2321 POOLER PARKWAY, SUITE 106, Pooler, GA 31322
- **Phone:** (912) 275-8028
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 62 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (38), Family Practice (13), Pediatric Medicine (8); 1 practice at this address; [full list](https://npiprofile.com/npi/1871350090/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 4, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1871350090) · Data from the CMS NPPES public registry.