NPI age
18 years
Enumerated 2007-07-05
● Active Type 2 · Organization
Coastal Care Inc
Coastal Care Inc is 1 of 655 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Theis
Owner
Last NPPES update
2024-07-01
Source: monthly bulk 2026-05
How this organization compares
Across 655 active clinic/center providers in Georgia.
NPI age
18 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 15% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-07Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1405 Alice St
Waycross, GA 315014528
Mailing address
1405 Alice St
Waycross, GA 315014528
Authorized official
Warren S Theis, MD
Owner
📞 9122858822
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Cheryl Klug, F.N.P. C Legal Medicine NPI 1245276989
- Gerardo Klug, M.D. Legal Medicine NPI 1205878600
- Warren Theis, M.D. General Practice NPI 1588658702
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterA facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 672694005A |
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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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.