NPI age
8 years
Enumerated 2018-03-14
● Active Type 2 · Organization
Coastal Wellness Family Medicine Llc
Coastal Wellness Family Medicine Llc is 1 of 655 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Hall
Clinical Director
Last NPPES update
2024-12-03
Source: monthly bulk 2026-05
How this organization compares
Across 655 active clinic/center providers in Georgia.
NPI age
8 years
↓ 3 yr below median
Practice locations
2
1 secondary on file
Subspecialties
1
In the 15% of peers with subspecialties
NPI lifetime · 2018 → 2026
2018-03Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
102 Lakeshore Dr Ste B
Saint Marys, GA 315583875
Mailing address
102 Lakeshore Dr Ste B
Saint Marys, GA 315583875
Additional practice locations
1 secondary location on file with NPPES.
Location 2
5211 S Fletcher Ave
Fernandina Beach, FL 320345370
Authorized official
Tavia Hall, MS, CPPM
Clinical Director
📞 9125767546
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Jessica Godbey, APRN Nurse Practitioner NPI 1942919857
- Susan Goldsmith, MSN, FNP-BC Nurse Practitioner NPI 1124061700
- Megan Lavery, LPC Counselor NPI 1154859957
- Nina Leonard, CPNP-PC, PMHCNS-BC Nurse Practitioner NPI 1679877526
- Colleen Shain, LCSW, BCD Social Worker NPI 1538317615
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterDefinition to come...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Coastal Georgia Wellness Center & Family Medicine
-
Coastal Georgia Wellness Center & Family Medicine
Practice context
Multi-provider organization. 5 individual providers on file at this primary address. Plus 1 secondary practice location.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.