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

Southcoast Medical Group, LLC

Organization Family Medicine Physician · NPI 1861745119

Southcoast Medical Group, LLC provides Family Medicine Physician services 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 Not confirmed with CMS for 13 years — call before visiting
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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