| Coastal Care Md, Llc | |
|
4 Skidaway Village Walk Ste B Savannah GA 31411-2962 | |
| (912) 598-6322 | |
| Not Available |
| Full Name | Coastal Care Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4 Skidaway Village Walk Ste B, Savannah, Georgia |
| Authorized Official Name and Position | John Scott Pierce (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 9129991967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Care Md, Llc 4 Skidaway Village Walk Ste B Savannah GA 31411-2962 Ph: (912) 598-6322 | Coastal Care Md, Llc 4 Skidaway Village Walk Ste B Savannah GA 31411-2962 Ph: (912) 598-6322 |
| NPI Number | 1881200772 |
|---|---|
| Provider Enumeration Date | 09/16/2020 |
| Last Update Date | 04/07/2022 |
| Medicare PECOS PAC ID | 9436560729 |
|---|---|
| Medicare Enrollment ID | O20201117001583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881200772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sanjay Iyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942469580 PECOS PAC ID: 9335317288 Enrollment ID: I20110719000695 |
| Provider Name | Walter Blun Bowden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336466366 PECOS PAC ID: 1456595651 Enrollment ID: I20160808002753 |
| Provider Name | Donna Mcmahan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740691419 PECOS PAC ID: 4183949183 Enrollment ID: I20170901000204 |
| Provider Name | Amanda Bryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902338262 PECOS PAC ID: 7012280415 Enrollment ID: I20200910002165 |
| Provider Name | Samantha R Bossak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245985209 PECOS PAC ID: 3779961156 Enrollment ID: I20220526001759 |
Memorial Physicians Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4731 Waters Ave, Savannah, GA 31404 Phone: 912-350-4905 Fax: 912-350-4955 | |
Mppg, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4731 Waters Ave, Savannah, GA 31404 Phone: 912-350-4905 Fax: 912-350-4955 | |
Union Mission, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Fahm St, Savannah, GA 31401 Phone: 912-495-8887 Fax: 912-495-8889 | |
Curtis V. Cooper Primary Health Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4451 Paulsen St, Savannah, GA 31405 Phone: 912-527-1005 Fax: 912-527-1126 | |
Dynamic Loop Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Bull St # 200, Savannah, GA 31401 Phone: 470-332-5035 Fax: 888-977-3104 | |
Community Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4395 Ogeechee Rd, Ste 209, Savannah, GA 31405 Phone: 912-335-8934 Fax: 912-228-3046 | |
Memorial Health Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4700 Waters Ave, Memorial Health Hospitalists, Savannah, GA 31404 Phone: 912-350-2155 Fax: 912-350-2156 |