COFFEE COUNTY HIGH SCHOOL
NPI 1669085742
Clinic/Center - Federally Qualified Health Center (FQHC) in Douglas, GA

Active since August 28, 2020
159 TROJAN WAY, DOUGLAS, GA 31533(229) 468-9166(229) 468-9188 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About COFFEE COUNTY HIGH SCHOOL

This page provides the complete NPI Profile along with additional information for Coffee County High School, a primary care provider established in Douglas, Georgia operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1669085742 assigned on August 2020. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Coffee County High School. The authorized official of this NPI record is Robert Bonds Tucker (Ceo)

NPI
1669085742 Verify this NPI
Provider Legal Name
SOUTH CENTRAL PRIMARY CARE CENTER, INC
Other Organization Name
COFFEE COUNTY HIGH SCHOOL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
159 TROJAN WAY DOUGLAS, GA 31533
Location Phone
(229) 468-9166
Location Fax
(229) 468-9188
Mailing Address
PO BOX 749 OCILLA, GA 31774
Mailing Phone
(229) 468-9166
Mailing Fax
(229) 468-9188
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-28-2020
Last Update Date
11-26-2024
Code Navigator

A primary care provider (PCP) like Coffee County High School sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBERT BONDS TUCKER

Authorized Official Title
CEO
Authorized Official Phone
(229) 468-9166

Reviews for COFFEE COUNTY HIGH SCHOOL

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Specialist/Technologist (Athletic Trainer)
159 TROJAN WAY
DOUGLAS, GA 31533

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669085742, enumerated as an "organization" on August 28, 2020.

The provider is located at 159 TROJAN WAY DOUGLAS, GA 31533 and the phone number is (229) 468-9166.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).