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COASTAL NEUROLOGICAL INSTITUTE
NPI 1912003401
Specialist in Brunswick, GA

Active since September 15, 2006
1111 GLYNCO PARKWAY, SUITE 400, BRUNSWICK, GA 31525(912) 265-1357(912) 265-0495 Get Directions Write a Review

NPPES record last updated: November 3, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coastal Neurological Institute NPPES

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

COASTAL NEUROLOGICAL INSTITUTE (NPI 1912003401) is a healthcare organization registered as a specialist in Brunswick, Georgia and active in the NPI registry since September 2006. The organization lists Carl T Shenkman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912003401
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGEORGIA NEUROLOGY AND REHAB
Location Address1111 GLYNCO PARKWAY, SUITE 400Brunswick, GA 31525
Mailing Address1111 Glynco Parkway, Suite 400Brunswick, GA 31525 · (912) 265-1357 · Fax (912) 265-0495
Phone(912) 265-1357
Fax(912) 265-0495
Organization SubpartNo
Authorized OfficialCarl T ShenkmanCeo · (912) 265-1357
Enumeration DateSeptember 15, 2006
Last NPPES UpdateNovember 3, 2011
✔ NPI 1912003401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 036000
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1111 GLYNCO PARKWAY, Brunswick, GA 31525
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Other Names 1

Doing Business AsCoastal Neurological Institute

Other Identifiers 4

OtherDC7432GA · Railroad Medicare Pin
Medicaid000516942HGA
Medicare PINGRP6703GA
Medicare UPIN13BDDVPGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

ERICK BOURNIGAL MD
Internal Medicine (Rheumatology)
1111 GLYNCO PARKWAY, SUITE 30
BRUNSWICK, GA 31525
Glynn County (912) 267-1026
CAMDEN HELDER PA-C
Physician Assistant
1111 GLYNCO PARKWAY, STE 120
BRUNSWICK, GA 31525
Glynn County (912) 267-0774
RICHARD NEAL BOSWELL MD
Internal Medicine (Rheumatology)
1111 GLYNCO PARKWAY, SUITE 30
BRUNSWICK, GA 31525
Glynn County (912) 267-1026

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 Georgia Neurology And Rehab's NPI number?

The NPI number for Georgia Neurology And Rehab is 1912003401. It was assigned to this organization in the NPPES registry on September 15, 2006. The provider is doing business as Coastal Neurological Institute.

Where is Georgia Neurology And Rehab located?

Georgia Neurology And Rehab is located at 1111 Glynco Parkway Suite 400, Brunswick, GA 31525. The listed phone number is (912) 265-1357.

What is Georgia Neurology And Rehab's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Georgia Neurology And Rehab was last updated on November 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.