Southern Coastal Ent PC
NPI 1104905405 · Otolaryngology Physician · Brunswick, GA
Southern Coastal Ent PC is a Otolaryngology Physician organization in Brunswick, GA (NPI 1104905405).
Provider details
- NPI number
- 1104905405
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sherman Stevenson, Owner(912) 265-3210
- License
- 057327 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-06
- Last updated
- 2008-07-15
Frequently asked questions
- What is Southern Coastal Ent PC's NPI number?
- Southern Coastal Ent PC's National Provider Identifier (NPI) is 1104905405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Coastal Ent PC?
- Southern Coastal Ent PC is classified in the NPPES registry as Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Coastal Ent PC located?
- Southern Coastal Ent PC's practice location on file with NPPES is 2500 Starling St, Brunswick, GA 31520-4265.
- What is Southern Coastal Ent PC's phone number?
- The practice phone number listed in the NPPES registry for Southern Coastal Ent PC is (912) 265-3210.
- Who is the authorized official for Southern Coastal Ent PC?
- The authorized official listed on Southern Coastal Ent PC's NPPES record is Sherman Stevenson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Coastal Ent PC's NPI active?
- Yes — Southern Coastal Ent PC's NPI (1104905405) is active in the NPPES registry as of the last update on 2008-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.