COFFEE EMERGENCY GROUP LLC
NPI 1023353489
Emergency Medicine in Douglas, GA

Active since December 11, 2012
1101 OCILLA RD, DOUGLAS, GA 31533(800) 893-9698 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 11, 2021, Jan 11, 2016 (2 updates tracked since 2016).

About Coffee Emergency Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COFFEE EMERGENCY GROUP LLC (NPI 1023353489) is a healthcare organization registered as an emergency medicine in Douglas, Georgia and active in the NPI registry since December 2012. The organization lists Lisha C Falk, Vp Of Contracting, as its authorized official.

NPPES Registry Identity

NPI1023353489
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameCOFFEE EMERGENCY GROUP LLC
Location Address1101 OCILLA RDDouglas, GA 31533-2207
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870
Organization SubpartNo
Authorized OfficialLisha C FalkVp Of Contracting · (337) 609-1221
Enumeration DateDecember 11, 2012
Last NPPES UpdateMarch 23, 20222 updates tracked since enumeration
NPPES CertifiedMarch 23, 2022
NPI 1023353489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1101 OCILLA RD, Douglas, GA 31533

Other Identifiers 1

Medicaid003131865AGA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
1101 OCILLA RD
DOUGLAS, GA 31533
Nurse Practitioner (Family)
1101 OCILLA RD
DOUGLAS, GA 31533
Radiology (Diagnostic Radiology)
1101 OCILLA RD
DOUGLAS, GA 31533
Nurse Practitioner (Family)
1101 OCILLA RD
DOUGLAS, GA 31533
Physician Assistant
1101 OCILLA RD
DOUGLAS, GA 31533
Nurse Anesthetist, Certified Registered
1101 OCILLA RD
DOUGLAS, GA 31533
Pathology (Anatomic Pathology & Clinical Pathology)
1101 OCILLA RD
DOUGLAS, GA 31533
Emergency Medicine (Emergency Medical Services)
1101 OCILLA RD
DOUGLAS, GA 31533

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coffee Emergency Group LLC's NPI number?

The NPI number for Coffee Emergency Group LLC is 1023353489. It was assigned to this organization in the NPPES registry on December 11, 2012.

Where is Coffee Emergency Group LLC located?

Coffee Emergency Group LLC is located at 1101 Ocilla Rd, Douglas, GA 31533. The listed phone number is (800) 893-9698.

What is Coffee Emergency Group LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

What insurance does Coffee Emergency Group LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Coffee Emergency Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coffee Emergency Group LLC was last updated on March 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.