EMERGENCY PHYSICIANS OF COFFEE COUNTY, LLC
NPI 1336431030
Emergency Medicine - Emergency Medical Services in Douglas, GA

Q: What is Emergency Physicians Of Coffee County, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Active since May 12, 2011

1101 OCILLA RD, DOUGLAS, GA 31533(912) 384-1900(912) 383-5667 Get Directions Write a Review

NPPES record last updated: May 12, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Emergency Physicians Of Coffee County, Llc NPPES

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

EMERGENCY PHYSICIANS OF COFFEE COUNTY, LLC (NPI 1336431030) is a healthcare organization registered as an emergency medical services in Douglas, Georgia and active in the NPI registry since May 2011. The organization lists Lavonda Cravey, Manager, as its authorized official.

NPPES Registry Identity

NPI1336431030

Entity TypeOrganization

Primary Taxonomy207PE0004X

Legal Business NameEMERGENCY PHYSICIANS OF COFFEE COUNTY, LLC

Location Address1101 OCILLA RDDouglas, GA 31533-2207

Mailing Address1101 Ocilla RdDouglas, GA 31533-2207 · (912) 384-1900 · Fax (912) 383-5667

Phone(912) 384-1900

Fax(912) 383-5667

Organization SubpartNo

Authorized OfficialLavonda CraveyManager · (912) 384-1900

Enumeration DateMay 12, 2011

✔ NPI 1336431030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians

Taxonomy Code207PE0004X

Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

1101 OCILLA RD, Douglas, GA 31533

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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

Other Providers at the Same Location NPPES 20

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

NIRANDR INTHACHAK M.D.

Radiology (Diagnostic Radiology)