EAR, NOSE AND THROAT CLINIC OF COFFEE CO.
NPI 1891750774
Specialist in Douglas, GA

Active since April 20, 2006
312 WESTSIDE DRIVE, DOUGLAS, GA 31533(912) 384-2200(912) 383-7992 Get Directions Write a Review

NPPES record last updated: February 4, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ear, Nose And Throat Clinic Of Coffee Co. NPPES

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

EAR, NOSE AND THROAT CLINIC OF COFFEE CO. (NPI 1891750774) is a healthcare organization registered as a specialist in Douglas, Georgia and active in the NPI registry since April 2006. The organization lists Amber Patterson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1891750774
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEAR, NOSE AND THROAT CLINIC OF COFFEE CO.
Location Address312 WESTSIDE DRIVEDouglas, GA 31533-0312
Mailing AddressP.o. Box 1068Douglas, GA 31533-1068 · (912) 384-2200 · Fax (912) 383-7992
Fax(912) 383-7992
Organization SubpartNo
Authorized OfficialAmber PattersonOffice Manager · (912) 384-2200
Enumeration DateApril 20, 2006
Last NPPES UpdateFebruary 4, 2010
✔ NPI 1891750774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 041953
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
312 WESTSIDE DRIVE, Douglas, GA 31533

Other Identifiers 6

OtherDE8251GA · Medicare Railroad Group Id
Medicaid300032501AGA
Medicare OSCAR/certification107222GA
Other990001864GA · Medicare Railroad
Medicare PINGRP7171GA
Medicare UPING37221GA

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ear, Nose And Throat Clinic Of Coffee Co. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Ear, Nose And Throat Clinic Of Coffee Co., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Otolaryngology5
Nurse Practitioner3
Certified Registered Nurse Anesthetist (CRNA)2
Physical Therapist in Private Practice2
Qualified Audiologist1

Clinicians, nearest first (13)

Physical Therapist in Private Practice
NPI 1356547087
310 SHIRLEY AVE
Douglas, GA 31533
(912) 260-3650
0.5 mi
Nurse Practitioner
NPI 1255830907
615 PENDLETON ST STE 2
Waycross, GA 31501
(912) 285-9994
✔ PECOS✔ Accepts Medicare36 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1306105390
901 18TH ST E
Tifton, GA 31794
(229) 353-6124
✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1457600298
415 WOODROW WILSON DRIVE
Valdosta, GA 31602
(229) 253-0780
✔ PECOS✔ Accepts Medicare51 mi
Nurse Practitioner
NPI 1487160362
304 N WESTBERRY ST
Sylvester, GA 31791
(229) 463-7071
✔ PECOS✔ Accepts Medicare57 mi
Physical Therapist in Private Practice
NPI 1366779472
210 E DERENNE AVE
Savannah, GA 31405
(912) 644-5300
✔ Accepts Medicare109 mi
Qualified Audiologist
NPI 1710988472
377 PALM COAST PKWY SW UNIT 3
Palm Coast, FL 32137
(386) 283-4932
✔ Accepts Medicare166 mi
Otolaryngology
NPI 1528046919
1595 HIGHWAY 34 E
Newnan, GA 30265
(678) 206-2202
✔ PECOS✔ Accepts Medicare170 mi
Otolaryngology
NPI 1174603112
1800 PEACHTREE STREET, NW SUITE 700
Atlanta, GA 30309
(404) 350-7966
✔ PECOS181 mi
Otolaryngology
NPI 1689600579
2010 PATTON CHAPEL RD STE 206
Birmingham, AL 35216
(205) 824-3223
✔ PECOS✔ Accepts Medicare264 mi
Otolaryngology
NPI 1386609220
400 NASH MEDICAL ARTS MALL
Rocky Mount, NC 27804
(252) 962-5300
✔ PECOS✔ Accepts Medicare422 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1851805303
4215 JOE RAMSEY BLVD E
Greenville, TX 75401
(903) 408-1218
✔ PECOS783 mi
Otolaryngology
NPI 1235170572
701 E ROSSER AVE
Bismarck, ND 58501
(701) 323-8550
✔ PECOS✔ Accepts Medicare1,422 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ear, Nose And Throat Clinic Of Coffee Co.'s NPI number?

The NPI number for Ear, Nose And Throat Clinic Of Coffee Co. is 1891750774. It was assigned to this organization in the NPPES registry on April 20, 2006.

Where is Ear, Nose And Throat Clinic Of Coffee Co. located?

Ear, Nose And Throat Clinic Of Coffee Co. is located at 312 Westside Drive, Douglas, GA 31533. The listed phone number is (912) 384-2200.

What is Ear, Nose And Throat Clinic Of Coffee Co.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Ear, Nose And Throat Clinic Of Coffee Co. enrolled in Medicare?

Yes. Ear, Nose And Throat Clinic Of Coffee Co. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ear, Nose And Throat Clinic Of Coffee Co.?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 5 Medicare specialties reassign their Medicare billing to Ear, Nose And Throat Clinic Of Coffee Co.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Otolaryngology (5), Nurse Practitioner (3) and Certified Registered Nurse Anesthetist (CRNA) (2). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ear, Nose And Throat Clinic Of Coffee Co. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Ear, Nose And Throat Clinic Of Coffee Co. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ear, Nose And Throat Clinic Of Coffee Co. was last updated on February 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.