COFFEE WELLNESS CENTER
NPI 1316976699
Public Health or Welfare in Douglas, GA

Active since June 30, 2006
1003 SHIRLEY AVE, DOUGLAS, GA 31533(912) 389-4586(913) 389-4590 Get Directions Write a Review

NPPES record last updated: December 11, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Coffee Wellness Center NPPES

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

COFFEE WELLNESS CENTER (NPI 1316976699) is a healthcare organization registered as a public health or welfare in Douglas, Georgia and active in the NPI registry since June 2006. The organization lists Starla Sutton, Pso, as its authorized official.

NPPES Registry Identity

NPI1316976699
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameCOFFEE COUNTY BOARD OF HEALTH
Location Address1003 SHIRLEY AVEDouglas, GA 31533-2123
Mailing Address1003 Shirley AveDouglas, GA 31533-2123 · (912) 389-4586 · Fax (913) 389-4590
Fax(913) 389-4590
Organization SubpartYes
Authorized OfficialStarla SuttonPso · (912) 338-5263
Enumeration DateJune 30, 2006
Last NPPES UpdateDecember 11, 2012
✔ NPI 1316976699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
1003 SHIRLEY AVE, Douglas, GA 31533

Other Names 1

Doing Business AsCoffee Wellness Center

Other Identifiers 4

Medicare ID-Type UnspecifiedFLU127GA · County Flu Billing #
Medicare ID-Type UnspecifiedGRP3496GA · County Mdcr Billing #
Medicaid000808387AGA
Medicaid000955171AGA

Accepted 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 Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Coffee Wellness Center, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner9
Family Practice1
Infectious Disease1

Clinicians, nearest first (11)

Nurse Practitioner
NPI 1144849290
1111 BAKER HWY W
Douglas, GA 31533
(912) 389-4453
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1154862894
1003 SHIRLEY AVE
Douglas, GA 31533
(912) 389-4586
✔ PECOS0.3 mi
Family Practice
NPI 1831182674
310 BRYAN ST W
Douglas, GA 31533
(912) 389-4586
✔ PECOS0.7 mi
Nurse Practitioner
NPI 1962433755
310 BRYAN ST W
Douglas, GA 31533
(912) 389-4586
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1558646901
604 RIVERSIDE AVE
Waycross, GA 31501
(912) 287-4863
✔ PECOS36 mi
Nurse Practitioner
NPI 1336806637
1102 PLANT AVE
Waycross, GA 31501
(912) 550-0020
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1881625457
714 NW BROAD STREET
Lyons, GA 30436
(912) 526-8108
✔ PECOS57 mi
Nurse Practitioner
NPI 1366978033
106 BRIARWOOD RD
Statesboro, GA 30458
(912) 871-5000
✔ PECOS✔ Accepts Medicare90 mi
Infectious Disease
NPI 1811971625
3 WEST ALTMAN STREET
Statesboro, GA 30458
(912) 764-2402
✔ PECOS90 mi
Nurse Practitioner
NPI 1417274358
204 S MAIN ST
Statesboro, GA 30458
(912) 662-6501
✔ PECOS91 mi
Nurse Practitioner
NPI 1417385295
120 S ZETTEROWER AVE
Statesboro, GA 30458
(912) 681-7368
✔ PECOS✔ Accepts Medicare91 mi

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 County Board Of Health's NPI number?

The NPI number for Coffee County Board Of Health is 1316976699. It was assigned to this organization in the NPPES registry on June 30, 2006. The provider is doing business as Coffee Wellness Center.

Where is Coffee County Board Of Health located?

Coffee County Board Of Health is located at 1003 Shirley Ave, Douglas, GA 31533. The listed phone number is (912) 389-4586.

What is Coffee County Board Of Health's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Is Coffee County Board Of Health enrolled in Medicare?

Yes. Coffee County Board Of Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coffee County Board Of Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Coffee County Board Of Health. 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. The largest specialties are Nurse Practitioner (9), Family Practice (1) and Infectious Disease (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Coffee County Board Of Health accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Coffee County Board Of Health 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 Board Of Health was last updated on December 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.