Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GOLDEN ISLES COASTAL MEDICINE, LLC
NPI 1912862301
Nurse Practitioner - Family in Darien, GA

Active since December 18, 2025CLIA 11D2346490 · Waiver
5873 US HIGHWAY 17 STE A, DARIEN, GA 31305(469) 915-4211 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 25, 2026, Jul 25, 2026, Dec 18, 2025 (3 updates tracked since 2025).

About Golden Isles Coastal Medicine, Llc NPPES

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

GOLDEN ISLES COASTAL MEDICINE, LLC (NPI 1912862301) is a healthcare organization registered as a family in Darien, Georgia and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through June 30, 2028 and lists Al Berry, Credentialist, as its authorized official.

NPPES Registry Identity

NPI1912862301
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameGOLDEN ISLES COASTAL MEDICINE, LLC
Location Address5873 US HIGHWAY 17 STE ADarien, GA 31305-4063
Mailing AddressPo Box 654Darien, GA 31305-0654 · (912) 450-9750 · Fax (833) 468-5564
Organization SubpartNo
Authorized OfficialAl BerryCredentialist · (469) 915-4211
Enumeration DateDecember 18, 2025
Last NPPES UpdateAugust 25, 20263 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1912862301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X
5873 US HIGHWAY 17 STE A, Darien, GA 31305

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

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 11D2346490

Golden Isles Coastal Medicine · Darien, GA
Active · expires Jun 30, 2028
CLIA Number11D2346490
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2026
Certificate Expiration DateJune 30, 2028
Laboratory DirectorMartin Artman
Laboratory Phone(912) 266-6605
Laboratory LocationGolden Isles Coastal Medicine5873 Us Hwy 17 Ste A, Darien, GA 31305
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Golden Isles Coastal Medicine, LLC's NPI number?

The NPI number for Golden Isles Coastal Medicine, LLC is 1912862301. It was assigned to this organization in the NPPES registry on December 18, 2025.

Where is Golden Isles Coastal Medicine, LLC located?

Golden Isles Coastal Medicine, LLC is located at 5873 Us Highway 17 Ste A, Darien, GA 31305. The listed phone number is (469) 915-4211.

What is Golden Isles Coastal Medicine, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Golden Isles Coastal Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2346490) is associated with this NPI, valid through June 30, 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 Golden Isles Coastal Medicine, LLC was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.