GOLDEN ISLES COASTAL MEDICINE, LLC
NPI 1912862301
Nurse Practitioner - Family in Darien, GA
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
Specialties & Licenses 2
Group Practice 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)
Golden Isles Coastal Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Golden Isles Coastal Medicine, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Pooler, GA 31322
Source: 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 of Waiver 11D2346490
Golden Isles Coastal Medicine · Darien, 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 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.
Is Golden Isles Coastal Medicine, LLC enrolled in Medicare?
Yes. Golden Isles Coastal Medicine, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Golden Isles Coastal Medicine, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Golden Isles Coastal Medicine, LLC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 59 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.
# Golden Isles Coastal Medicine, Llc · NPI 1912862301
Family organization in Darien, Georgia. Organization record, active in the CMS NPPES registry since December 18, 2025.
## Identity
- **NPI:** 1912862301 (Entity type: Organization)
- **Enumerated:** December 18, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Al Berry, CREDENTIALIST
## Practice location
- **Address:** 5873 US HIGHWAY 17 STE A, Darien, GA 31305-4063
- **Phone:** (469) 915-4211
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 25, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1912862301) · Data from the CMS NPPES public registry.