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COFFEE COUNTY CENTER FOR DIGESTIVE DISEASES LLC
NPI 1043411648
Clinic/Center - Ambulatory Surgical in Douglas, GA

Active since May 30, 2007CLIA 11D1028055 · Waiver
300 SHIRLEY AVENUE, DOUGLAS, GA 31533(912) 384-7276(912) 384-4353 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2022, May 12, 2022 (2 updates tracked since 2022).

About Coffee County Center For Digestive Diseases Llc NPPES

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

COFFEE COUNTY CENTER FOR DIGESTIVE DISEASES LLC (NPI 1043411648) is a healthcare organization registered as an ambulatory surgical in Douglas, Georgia and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through July 19, 2028 and lists Sudhakar Jonnalagadda, Officer, as its authorized official.

NPPES Registry Identity

NPI1043411648
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCOFFEE COUNTY CENTER FOR DIGESTIVE DISEASES LLC
Location Address300 SHIRLEY AVENUEDouglas, GA 31533
Mailing Address300 Shirley AvenueDouglas, GA 31533 · (912) 384-7276 · Fax (912) 384-4353
Phone(912) 384-7276
Fax(912) 384-4353
Organization SubpartNo
Authorized OfficialSudhakar JonnalagaddaOfficer · (912) 384-7276
Enumeration DateMay 30, 2007
Last NPPES UpdateMay 19, 20222 updates tracked since enumeration
NPPES CertifiedMay 19, 2022
✔ NPI 1043411648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in GA · 034-295
300 SHIRLEY AVENUE, Douglas, GA 31533
Open in Google Maps ↗

Other Identifiers 2

Other034-295GA · State Permit
Medicaid474131643AGA

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D1028055

Coffee County Center For Digestive Diseases LLC · Douglas, GA
Active · expires Jul 19, 2028
CLIA Number11D1028055
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 20, 2026
Certificate Expiration DateJuly 19, 2028
Laboratory DirectorSudhakar Jonnalagadda
Laboratory Phone(912) 384-7275
Laboratory LocationCoffee County Center For Digestive Diseases LLC300 Shirley Avenue, Douglas, GA 31533
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
52 services52 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
51 services50 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
44 services44 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
20 services20 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
15 services15 patients

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 County Center For Digestive Diseases LLC's NPI number?

The NPI number for Coffee County Center For Digestive Diseases LLC is 1043411648. It was assigned to this organization in the NPPES registry on May 30, 2007.

Where is Coffee County Center For Digestive Diseases LLC located?

Coffee County Center For Digestive Diseases LLC is located at 300 Shirley Avenue, Douglas, GA 31533. The listed phone number is (912) 384-7276.

What is Coffee County Center For Digestive Diseases LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Coffee County Center For Digestive Diseases LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1028055) is associated with this NPI, valid through July 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coffee County Center For Digestive Diseases LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Coffee County Center For Digestive Diseases 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 County Center For Digestive Diseases LLC was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.