Coastal Ear Nose & Throat, LLC
NPI 1053552513ActiveOrganization· Otolaryngology· Savannah, GA
Otolaryngology in Savannah, Georgia, registered in NPPES in March 2009. The authorized official on file is Rhonda Oliver, Practice Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053552513 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2009 |
| Last updated in NPPES | Jul 13, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | — | — |
| Physical Therapist | 225100000X | — | — |
| Audiologist | 231H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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