COFFEE COUNTY HOSPITALIST PHYSICIANS, LLC (NPI# 1811435464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811435464 |
| Entity Type | Organization |
| Organization Name | COFFEE COUNTY HOSPITALIST PHYSICIANS, LLC |
| Practice Address |
1101 Ocilla Rd Douglas GA 31533-2207 |
| Mailing Address |
Po Box 2546 Douglas GA 31534-2546 |
| Practice Telephone | 9123837826 |
| Practice Fax Number | 9123817299 |
| Mailing Telephone | 9123837826 |
| Mailing Fax Number | 9123837299 |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-23 |
| Authorized Official Name | DR. JAMES STANLEY SINCLAIR (ORGANIZER) |
| Authorized Official Telephone | 9123837826 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 202C00000X | Independent Medical Examiner | 036457 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1101 OCILLA RD |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31533-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245238211 | Joel W Ferree | Internal Medicine | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2005-07-13 |
| 1982239141 | Candace Rose Musgrove | Nurse Practitioner | 1101 Ocilla Rd, Douglas, GA 31533-2262 | 2020-03-09 |
| 1750920336 | Alexis Courson | Nurse Practitioner | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2019-12-31 |
| 1649839994 | Bobby Joe Guess Jr. | Nurse Practitioner | 1101 Ocilla Rd, Douglas, GA 31533-2262 | 2019-06-11 |
| 1801390836 | Jodi Rogers | Nurse Practitioner | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2018-03-23 |
| 1518460781 | Amy Michelle Whitley | Nurse Practitioner | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2018-03-14 |
| 1487160362 | Richard Steven Keene | Nurse Practitioner | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2017-12-14 |
| 1316451735 | Beverly Denise Graham | Nurse Practitioner | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2017-11-21 |
| 1871010264 | Laura Melissa Steverson | Nurse Practitioner | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2017-08-25 |
| 1366974263 | Coffee Regional Medical Center, Inc | Medicare Defined Swing Bed Unit | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2017-03-30 |
| Find all providers in the same location | ||||
| 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 | 202C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Independent Medical Examiner |
| A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. |
| Notes: Source: American Board of Independent Medical Examiners, www.abime.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609415132 | Oss Care & Consulting, LLC | Independent Medical Examiner | 166 Anderson St Se Ste 225, Marietta, GA 30060-1984 | 2020-01-01 |
| 1508346537 | Aja Mclemore | Independent Medical Examiner | 111 Rucker Ln Apt 1203, Statesboro, GA 30458-3323 | 2018-08-20 |
| 1740600998 | David S Silverstein | Independent Medical Examiner | 1770 Cedars Rd, Lawrenceville, GA 30045-6710 | 2014-04-25 |
| 1437356359 | Vidalia Ob Gyn | Independent Medical Examiner | 1707 Meadows Lane, Vidalia, GA 30474 | 2007-07-03 |
| 1013923218 | Tracy Lane | Independent Medical Examiner | 2221 Peachtree Rd Ne, Ste D658, Atlanta, GA 30309-1148 | 2006-07-31 |
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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.