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

Coastal Wellness Family Medicine LLC

Organization Multi-Specialty Clinic/Center · NPI 1235632449

Coastal Wellness Family Medicine LLC is a Multi-Specialty Clinic/Center in Saint Marys, Georgia. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

102 Lakeshore Dr Ste B
Saint Marys, GA 31558-3875
Phone: (912) 576-7546
Fax: (912) 576-2348
Show map & directions

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

Additional practice locations (1)

  • 5211 S Fletcher Ave, Fernandina Beach, FL 32034-5370 — (912) 576-7546

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1235632449
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tavia Hall — Clinical Director · (912) 576-7546
Other names Coastal Georgia Wellness Center & Family Medicine; Coastal Georgia Wellness Center & Family Medicine
NPI enumeratedMarch 14, 2018
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024
Mailing address102 Lakeshore Dr Ste B, Saint Marys, GA 31558-3875