{"npi":"1396258323","type":"NPI-2","status":"active","name":{"display":"Coastal Empire Orthopedics LLC","other":[],"organization_name":"COASTAL EMPIRE ORTHOPEDICS LLC","authorised_official":"Lori Wechsler"},"specialty":{"primary_taxonomy":"207XX0005X","primary_taxonomy_description":"Orthopaedic Sports Medicine","slug":"orthopedic-sports-medicine","schema_org_specialty":"Musculoskeletal","all":[{"code":"207XX0005X","description":"Orthopaedic Sports Medicine","primary":true,"state":"GA","license":"75377"}]},"addresses":[{"purpose":"LOCATION","street_1":"6715 FOREST PARK DR","city":"SAVANNAH","state":"GA","postal_code":"314062507","country_code":"US","phone":"9128447513"},{"purpose":"MAILING","street_1":"6715 FOREST PARK DR","city":"SAVANNAH","state":"GA","postal_code":"314062507","country_code":"US","phone":"9127776920","fax":"9127774018"}],"license":{"state":"GA","number":"75377"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"003182543A","state":"GA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20180810002062","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"GA","pac_id":"2062768740"}]},"enumeration_date":"2017-11-13","last_updated":"2025-09-12","_meta":{"source":"NPPES","snapshot_date":"2025-09-12","doc_url":"https://findmynpi.com/api"}}