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COASTAL COMMUNITY HEALTH SERVICES INC
NPI 1972223162
Clinic/Center - Federally Qualified Health Center (FQHC) in Brunswick, GA

Active since August 30, 2022CLIA Certified · 4 labs
1600 ELLIS ST, BRUNSWICK, GA 31520(912) 289-2006(912) 289-2014 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 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 1972223162) is a healthcare organization registered as a federally qualified health center (fqhc) in Brunswick, Georgia and active in the NPI registry since August 2022. The organization holds 4 active CLIA laboratory certificates and lists Kavanaugh Chandler, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972223162
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOASTAL COMMUNITY HEALTH SERVICES INC
Location Address1600 ELLIS STBrunswick, GA 31520-6737
Mailing Address106 Shoppers Way Ste 114Brunswick, GA 31525-0522 · (912) 574-5075
Phone(912) 289-2006
Fax(912) 289-2014
Organization SubpartNo
Authorized OfficialKavanaugh ChandlerCeo · (912) 275-8028
Enumeration DateAugust 30, 2022
NPPES CertifiedAugust 30, 2022
✔ NPI 1972223162 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
1600 ELLIS ST, Brunswick, GA 31520
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

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) 10D2321274

Coastal Community Health Services Inc · Orange Park, FL
Active · expires Mar 31, 2027
CLIA Number10D2321274
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorDennis Horner
Laboratory Phone(912) 289-2006
Laboratory LocationCoastal Community Health Services Inc1605 Kingsley Ave, Orange Park, FL 32073
CLIA data matches this NPI record on: Name Phone
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2320658

Coastal Community Health · Savannah, GA
Active · expires Mar 20, 2027
CLIA Number11D2320658
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 21, 2025
Certificate Expiration DateMarch 20, 2027
Laboratory DirectorBriana Gray
Laboratory Phone(912) 289-2006
Laboratory LocationCoastal Community Health5772 Waters Avenue, Savannah, GA 31404
CLIA data matches this NPI record on: Name Phone
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2320553

Coastal Community Health · Nahunta, GA
Active · expires Mar 19, 2027
CLIA Number11D2320553
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 20, 2025
Certificate Expiration DateMarch 19, 2027
Laboratory DirectorBriana Gray
Laboratory Phone(912) 289-2006
Laboratory LocationCoastal Community Health10804 Us-82, Nahunta, GA 31553
CLIA data matches this NPI record on: Name Phone
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2332231

Coastal Community Health - Shoppers Way · Brunswick, GA
Active · expires Oct 15, 2027
CLIA Number11D2332231
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 16, 2025
Certificate Expiration DateOctober 15, 2027
Laboratory DirectorDr. Tania Edwards
Laboratory Phone(912) 289-2006
Laboratory LocationCoastal Community Health - Shoppers Way106 Shoppers Way Suite 101, Brunswick, GA 31525
CLIA data matches this NPI record on: Phone
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 4

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

KENDALL DISA BOGES LPC
Counselor (Professional)
1600 ELLIS ST
BRUNSWICK, GA 31520
Glynn County (912) 289-1626
COASTAL COMMUNITY HEALTH SERVICES, INC.
Pharmacy (Community/Retail Pharmacy)
1600 ELLIS ST
BRUNSWICK, GA 31520
Glynn County (912) 574-5279
NICHOLE L MUCHISON FNP-BC
Nurse Practitioner (Family)
1600 ELLIS ST
BRUNSWICK, GA 31520
Glynn County (912) 289-2006
MANOUCHKA L ETIENNE PA-C
Physician Assistant (Medical)
1600 ELLIS ST
BRUNSWICK, GA 31520
Glynn County (912) 289-2006

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 1972223162. It was assigned to this organization in the NPPES registry on August 30, 2022.

Where is Coastal Community Health Services Inc located?

Coastal Community Health Services Inc is located at 1600 Ellis St, Brunswick, GA 31520. The listed phone number is (912) 289-2006.

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 CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.