COFFEE COUNTY PEDIATRICS PC
NPI 1861659294
Clinic/Center - Primary Care in Douglas, GA

Active since May 22, 2008
303B SHIRLEY AVE, DOUGLAS, GA 31533(912) 384-2474(912) 384-4995 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coffee County Pediatrics Pc NPPES

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

COFFEE COUNTY PEDIATRICS PC (NPI 1861659294) is a healthcare organization registered as a primary care in Douglas, Georgia and active in the NPI registry since May 2008. The organization lists Dyapa S Reddy, President, as its authorized official.

NPPES Registry Identity

NPI1861659294
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCOFFEE COUNTY PEDIATRICS PC
Location Address303B SHIRLEY AVEDouglas, GA 31533-2333
Mailing Address303b Shirley AveDouglas, GA 31533-2333 · (912) 384-2474 · Fax (912) 384-4995
Fax(912) 384-4995
Organization SubpartNo
Authorized OfficialDyapa S ReddyPresident · (912) 384-2474
Enumeration DateMay 22, 2008
NPI 1861659294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in GA · 028307
303B SHIRLEY AVE, Douglas, GA 31533

Other Providers at the Same Location NPPES

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

Pediatrics
303B SHIRLEY AVE
DOUGLAS, GA 31533

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 Pediatrics PC's NPI number?

The NPI number for Coffee County Pediatrics PC is 1861659294. It was assigned to this organization in the NPPES registry on May 22, 2008.

Where is Coffee County Pediatrics PC located?

Coffee County Pediatrics PC is located at 303B Shirley Ave, Douglas, GA 31533. The listed phone number is (912) 384-2474.

What is Coffee County Pediatrics PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Coffee County Pediatrics PC was last updated on May 22, 2008. 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.