Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coastal Care Inc

Organization Clinic/Center · NPI 1538367149

Coastal Care Inc is a Clinic/Center in Waycross, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1405 Alice St
Waycross, GA 31501-4528
Phone: (912) 285-8822
Fax: (912) 490-4870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 055345 (GA)
Clinic/Center Taxonomy 261Q00000X · Licence 055345 (GA)

Record details

NPI number1538367149
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Warren Theis — Owner · (912) 285-8822
NPI enumeratedJuly 5, 2007
Last updated in NPPESJuly 1, 2024
Mailing address1405 Alice St, Waycross, GA 31501-4528

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