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

Southcoast Medical Group, LLC

Organization Family Medicine Physician · NPI 1861745119

Southcoast Medical Group, LLC is a Family Medicine Physician in Savannah, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
Specialties on file
8
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

1326 Eisenhower Dr
Savannah, GA 31406-3928
Phone: (912) 691-4100
Fax: (912) 691-4209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 047425 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 020999 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 038715 (GA)
Ophthalmology Physician Taxonomy 207W00000X · Licence 026247 (GA)
Neurology Physician Taxonomy 2084N0400X · Licence 064752 (GA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 039937 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 5306 (GA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN077768 (GA)

Record details

NPI number1861745119
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Marrero — Administrator · (912) 303-3552
NPI enumeratedOctober 24, 2012
Last updated in NPPESOctober 24, 2012
Mailing addressPo Box 15849, Savannah, GA 31416-2549

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