1. Home
  2. Directory
  3. Georgia
  4. Doerun
  5. Nurse Practitioner
  6. NPI Profile

DOERUN HEALTHCARE L.L.C.
NPI 1780879957
Nurse Practitioner - Family in Doerun, GA

Active since September 11, 2007
217 WEST BROAD AVE, DOERUN, GA 31744(229) 782-5048(229) 782-5049 Get Directions Write a Review

NPPES record last updated: September 11, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Doerun Healthcare L.l.c. NPPES

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

DOERUN HEALTHCARE L.L.C. (NPI 1780879957) is a healthcare organization registered as a family in Doerun, Georgia and active in the NPI registry since September 2007. The organization lists Thomas Alexander Mac Kean, President, as its authorized official.

NPPES Registry Identity

NPI1780879957
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDOERUN HEALTHCARE L.L.C.
Location Address217 WEST BROAD AVEDoerun, GA 31744-0459
Mailing Address217 West Broad Ave, Po Box 459Doerun, GA 31744-0459 · (229) 782-5048 · Fax (229) 782-5049
Phone(229) 782-5048
Fax(229) 782-5049
Organization SubpartNo
Authorized OfficialThomas Alexander Mac KeanPresident · (229) 782-5048
Enumeration DateSeptember 11, 2007
✔ NPI 1780879957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN146046
217 WEST BROAD AVE, Doerun, GA 31744
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINQ60248

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

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 Doerun Healthcare L.L.C.'s NPI number?

The NPI number for Doerun Healthcare L.L.C. is 1780879957. It was assigned to this organization in the NPPES registry on September 11, 2007.

Where is Doerun Healthcare L.L.C. located?

Doerun Healthcare L.L.C. is located at 217 West Broad Ave, Doerun, GA 31744. The listed phone number is (229) 782-5048.

What is Doerun Healthcare L.L.C.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Doerun Healthcare L.L.C. was last updated on September 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.