Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Coastal Community Senior Living Services LLC

Organization Internal Medicine Physician · NPI 1194635185

Coastal Community Senior Living Services LLC provides Internal Medicine Physician services in College Park, Georgia. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3755 Main St Unit 101
College Park, GA 30337-3543
Phone: (844) 690-4494
Fax: (855) 538-9242
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1194635185
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Novella Tascoe — Owner · (844) 690-4494
Other names Hiyh
NPI enumeratedSeptember 10, 2026
Last updated in NPPESSeptember 10, 2026
Certification dateSeptember 10, 2026
Mailing address3755 Main St Unit 101, College Park, GA 30337-3543

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