Dr. Charles Leo Coster, D.O

Family Medicine in Jasper, GA. Individual provider (NPI-1).

NPI number1124157722

StatusActive

Last updated in NPPESJul 7, 2008

Details

NPI: 1124157722
Entity type: Individual (NPI-1)
Name: Dr. Charles Leo Coster
Credential: D.O
Sex: Male
Sole proprietor: No
Enumeration date: Mar 2, 2007
Last updated: Jul 7, 2008

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	04754	GA	Yes

Practice location

91 Sammy McGhee Blvd
Suite 101
Jasper, GA 30143-7703

Phone 706-253-6200 · Fax 706-253-6276

Mailing address

91 Sammy McGhee Blvd
Suite 101
Jasper, GA 30143-7703

Phone 706-253-6200 · Fax 706-253-6276

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Jasper, GA

All 13 Family Medicine Physician providers in Jasper · All 429 providers in Jasper

Checking a whole list?

Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check