COFFEE FAMILY MEDICINE (NPI# 1053470617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053470617 |
| Entity Type | Organization |
| Organization Name | COFFEE FAMILY MEDICINE |
| Practice Address |
200 Doctors Dr Ste 224 Douglas GA 31533-2201 |
| Practice Telephone | 9123842353 |
| Mailing Telephone | 9123842353 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LYDIA TANNER (CEO) |
| Authorized Official Telephone | 9123842353 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
200 DOCTORS DR STE 224 |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31533-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750374294 | Hemachandran P Nair | Internal Medicine | 200 Doctors Dr, Suite 106, Douglas, GA 31533-2201 | 2005-08-30 |
| 1760856405 | Crh Physician Practices LLC | General Practice | 200 Doctors Dr, Suite S, Douglas, GA 31533-2201 | 2015-11-18 |
| 1063832731 | Larissa Davis | Nurse Practitioner | 200 Doctors Dr, Ste 201, Douglas, GA 31533-2201 | 2014-04-22 |
| 1417388687 | Crh Physician Practices, LLC | Psychiatry & Neurology | 200 Doctors Dr, Suite L, Douglas, GA 31533-2201 | 2013-12-12 |
| 1417396342 | Joi Livingston Rogers | Pediatrics | 200 Doctors Dr, Suite 201, Douglas, GA 31533-2201 | 2013-06-25 |
| 1477997278 | Phoebe Family Medicine,coffee County | Clinic/Center | 200 Doctors Dr, Ste 224, Douglas, GA 31533-2201 | 2013-04-23 |
| 1255682142 | Crh Physician Practices LLC | Pediatrics | 200 Doctors Dr, Ste 201, Douglas, GA 31533-2201 | 2012-10-02 |
| 1417207796 | Crh Physician Practices LLC | Urology | 200 Doctors Dr, Ste 220, Douglas, GA 31533-2201 | 2012-09-14 |
| 1427305507 | Debra Sharon Luke | Nurse Practitioner | 200 Doctors Dr, Suite 106, Douglas, GA 31533-2201 | 2012-08-08 |
| 1669745345 | South Georgia Eye Partners PC | Optometrist | 200 Doctors Dr, Suite 290, Douglas, GA 31533-2201 | 2012-02-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1952940793 | Teresa Smith | Pharmacist | 901 W Ward St, Douglas, GA 31533 | 2019-12-26 |
| 1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
| 1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
| 1063840296 | South Central Primary Care Center | Clinic/Center | 303 Shirley Ave, Ste B, Douglas, GA 31533 | 2013-10-25 |
| 1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
| 1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
| 1063650406 | Jayla Snipes Bullock | Speech-Language Pathologist | 618 Bowens Mill Road Sw, Douglas, GA 31533 | 2009-01-22 |
| 1417112707 | Southern Community Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 315 S. Gaskin Ave, Douglas, GA 31533 | 2008-07-25 |
| Find all providers in zip 31533 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801433032 | Kristin Margie Burnam | Family Medicine | 100 Doctors Dr Ste D, Douglas, GA 31533-2211 | 2019-12-06 |
| 1346591229 | Crh Physician Practices LLC | Family Medicine | 304 Westside Dr, Douglas, GA 31533-3530 | 2012-10-02 |
| 1992888960 | Arlie Gordon Boone | Family Medicine | 102 Bowens Mill Rd, Douglas, GA 31533-2250 | 2006-10-23 |
| 1649382763 | Diskin G Morgan Sr. | Family Medicine | 1020 West Ward Street Extension, Douglas, GA 31533 | 2006-08-31 |
| 1629185459 | Nicole Boxer, Md, PC | Family Medicine | 2993 Blue Star Hwy, Suite 102, Douglas, MI 49406 | 2006-08-25 |
| 1558386003 | Alfred P Wu | Family Medicine | 1906 E 11th St, Douglas, AZ 85607-2413 | 2006-07-13 |
| 1417989591 | Gloria E. Garcia-mariscal | Family Medicine | 1535 E 10th St, Douglas, AZ 85607-2309 | 2006-07-07 |
| 1982630109 | Wallace Steve Anderson Do, PC | Family Medicine | 1311 Ocilla Rd, Douglas, GA 31533-2213 | 2006-06-23 |
| 1629066915 | Patricia Faye Patterson | Family Medicine | 1309 Ocilla Rd, Douglas, GA 31533-2209 | 2005-10-11 |
| 1538152855 | Umamaheswari Jonnalagadda | Family Medicine | 906 Bryan St W, Douglas, GA 31533-2330 | 2005-08-23 |
| Find all providers in DOUGLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.