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

Q: 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.

Q: What is Coffee Emergency Group LLC's specialty?

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

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: November 01, 2026.

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

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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

Phone(800) 893-9698

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coffee Emergency Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 38 clinicians reassign Medicare billing to Coffee Emergency Group LLC, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 19 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Emergency Medicine13

Nurse Practitioner13

Family Practice5

Internal Medicine4

General Practice1

General Surgery1

Physician Assistant1

Nearest to this location (20)

See all 38

Hallie Brigmond, PA-C

Physician Assistant

NPI 1366724452