1. Home
  2. Directory
  3. Georgia
  4. Douglas
  5. Family Medicine
  6. NPI Profile

COFFEE FAMILY MEDICINE
NPI 1053470617
Family Medicine in Douglas, GA

Active since December 08, 2006
200 DOCTORS DR, STE 224, DOUGLAS, GA 31533(912) 384-2353 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coffee Family Medicine NPPES

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

COFFEE FAMILY MEDICINE (NPI 1053470617) is a healthcare organization registered as a family medicine in Douglas, Georgia and active in the NPI registry since December 2006. The organization lists Lydia Tanner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053470617
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOFFEE FAMILY MEDICINE
Location Address200 DOCTORS DR, STE 224Douglas, GA 31533-2201
Mailing Address200 Doctors Dr, Ste 224Douglas, GA 31533-2201 · (912) 384-2353
Phone(912) 384-2353
Organization SubpartNo
Authorized OfficialLydia TannerCeo · (912) 384-2353
Enumeration DateDecember 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1053470617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

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.

200 DOCTORS DR, Douglas, GA 31533
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

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

LARISSA DAVIS
Nurse Practitioner (Family)
200 DOCTORS DR, STE 201
DOUGLAS, GA 31533
Coffee County (912) 384-9460
MARK THOMAS BRULTE MD
Internal Medicine
200 DOCTORS DR, SUITE 106
DOUGLAS, GA 31533
Coffee County (912) 384-3338
DR. JOHN DAVID ARNETT M.D.
Internal Medicine
200 DOCTORS DR, SUITE 106
DOUGLAS, GA 31533
Coffee County (912) 384-3338
DR. ALFRED WALTER MAZUR M.D.
Urology
200 DOCTORS DR, SUITE 220
DOUGLAS, GA 31533
Coffee County (912) 384-4030
COFFEE FAMILY MEDICINE, PC
Family Medicine
200 DOCTORS DR, SUITE 224
DOUGLAS, GA 31533
Coffee County (912) 384-2353
CRH PHYSICIAN PRACTICES LLC
Urology
200 DOCTORS DR, STE 220
DOUGLAS, GA 31533
Coffee County (912) 384-4030
CRH PHYSICIAN PRACTICES, LLC
Psychiatry & Neurology (Neurology)
200 DOCTORS DR, SUITE L
DOUGLAS, GA 31533
Coffee County (912) 383-6360
MRS. DEBRA SHARON LUKE FNP-C
Nurse Practitioner (Family)
200 DOCTORS DR, SUITE 106
DOUGLAS, GA 31533
Coffee County (912) 384-3338

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 Family Medicine's NPI number?

The NPI number for Coffee Family Medicine is 1053470617. It was assigned to this organization in the NPPES registry on December 8, 2006.

Where is Coffee Family Medicine located?

Coffee Family Medicine is located at 200 Doctors Dr Ste 224, Douglas, GA 31533. The listed phone number is (912) 384-2353.

What is Coffee Family Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Coffee Family Medicine was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.