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COFFEE CHIROPRACTIC LLC
NPI 1275187403
Chiropractor in Douglas, GA

Active since July 25, 2019
1103 MADISON AVE N, DOUGLAS, GA 31533(912) 384-3002(912) 383-4691 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 13, 2022, Dec 5, 2022, Apr 23, 2021 and 2 more (5 updates tracked since 2019).

About Coffee Chiropractic Llc NPPES

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

COFFEE CHIROPRACTIC LLC (NPI 1275187403) is a healthcare organization registered as a chiropractor in Douglas, Georgia and active in the NPI registry since July 2019. The organization maintains a secondary practice location in Tifton and lists Wycliff Harold Stewart, Chiropractor/owner, as its authorized official.

NPPES Registry Identity

NPI1275187403
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCOFFEE CHIROPRACTIC LLC
Location Address1103 MADISON AVE NDouglas, GA 31533-2803
Mailing Address1103 Madison Ave NDouglas, GA 31533-2803 · (912) 384-3002 · Fax (912) 383-4691
Phone(912) 384-3002
Fax(912) 383-4691
Organization SubpartNo
Authorized OfficialWycliff Harold StewartChiropractor/owner · (912) 384-3002
Enumeration DateJuly 25, 2019
Last NPPES UpdateDecember 13, 20225 updates tracked since enumeration
NPPES CertifiedDecember 13, 2022
✔ NPI 1275187403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1103 MADISON AVE N, Douglas, GA 31533
Open in Google Maps ↗

Secondary Practice Location 1

Location 1612 Tift Ave NTifton, GA 31794-4468 · Phone (229) 387-0605 · Fax (229) 382-4342

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

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Coffee Chiropractic LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Wycliff Stewart, DC
Chiropractic
NPI 1235617820
1103 MADISON AVE N
Douglas, GA 31533
(912) 384-3002
✔ Accepts MedicareSame address
Larry Hutchison, D.C.
Chiropractic
NPI 1720139363
1103 MADISON AVE N
Douglas, GA 31533
(912) 384-3002
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Chiropractic LLC's NPI number?

The NPI number for Coffee Chiropractic LLC is 1275187403. It was assigned to this organization in the NPPES registry on July 25, 2019.

Where is Coffee Chiropractic LLC located?

Coffee Chiropractic LLC is located at 1103 Madison Ave N, Douglas, GA 31533. The listed phone number is (912) 384-3002.

What is Coffee Chiropractic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Coffee Chiropractic LLC enrolled in Medicare?

Yes. Coffee Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coffee Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Coffee Chiropractic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Coffee Chiropractic LLC was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.