COFFEE COUNTY PHYSICIAN GROUP PC
NPI 1437164878
Emergency Medicine in Manchester, TN

Q: What is Coffee County Physician Group PC's NPI number?

The NPI number for Coffee County Physician Group PC is 1437164878. It was assigned to this organization in the NPPES registry on July 31, 2006.

Q: What is Coffee County Physician Group PC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since July 31, 2006

481 INTERSTATE DR, MANCHESTER, TN 37355(931) 728-6354 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Coffee County Physician Group Pc NPPES

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

COFFEE COUNTY PHYSICIAN GROUP PC (NPI 1437164878) is a healthcare organization registered as an emergency medicine in Manchester, Tennessee and active in the NPI registry since July 2006. The organization maintains a secondary practice location in Russellville and lists Kenneth Ware, Ceo, as its authorized official.

NPPES Registry Identity

NPI1437164878

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameCOFFEE COUNTY PHYSICIAN GROUP PC

Location Address481 INTERSTATE DRManchester, TN 37355-3108

Mailing AddressPo Box 830525 Dept Sf 125Birmingham, AL 35283-0525 · (601) 368-3290 · Fax (601) 936-4389

Phone(931) 728-6354

Organization SubpartNo

Authorized OfficialKenneth WareCeo · (615) 732-0560

Enumeration DateJuly 31, 2006

Last NPPES UpdateMay 2, 2025

NPPES CertifiedMay 2, 2025

✔ NPI 1437164878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

481 INTERSTATE DR, Manchester, TN 37355

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Secondary Practice Location 1

Location 115155 Highway 43Russellville, AL 35653-1975 · Phone (256) 332-1611

Other Identifiers 2

Medicaid3727643TN

Medicaid345103AL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 9

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

COFFEE MEDICAL GROUP LLC

General Acute Care Hospital (Rural)