OrganizationActive
Coastal Community Health Services Inc
NPI 1972223162 · Federally Qualified Health Center (FQHC) · Brunswick, GA
Provider details
- NPI number
- 1972223162
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kavanaugh Chandler, Ceo(912) 275-8028
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
1600 Ellis St
Brunswick, GA 31520-6737
Phone: (912) 289-2006
Fax: (912) 289-2014
Street-level locationGet directions
Mailing address
106 Shoppers Way Ste 114
Brunswick, GA 31525-0522
Registry dates
- Enumerated
- 2022-08-30
- Last updated
- 2022-08-30
- Certified
- 2022-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.