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Coster Care

Family Medicine in Jasper, GA. Organization (NPI-2).

NPI number1275799322
StatusActive
Last updated in NPPESOct 6, 2008

Details

NPI
1275799322
Entity type
Organization (NPI-2)
Legal business name
Coster Care
Organization subpart
No
Enumeration date
Jul 29, 2008
Last updated
Oct 6, 2008

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

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

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine045754GAYes

Other names

  • Ball Ground Family Practice,p.C. (Doing Business As)

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

Authorized official

Charles Leo Coster
Physician
7062536200

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

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