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DOERUN FAMILY MEDICINE CLINIC
NPI 1992147573
Clinic/Center - Rural Health in Doerun, GA

Active since July 23, 2013
128 WEST BROAD AVE, DOERUN, GA 31744(229) 891-9131(229) 891-9079 Get Directions Write a Review

NPPES record last updated: May 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Doerun Family Medicine Clinic NPPES

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

DOERUN FAMILY MEDICINE CLINIC (NPI 1992147573) is a healthcare organization registered as a rural health in Doerun, Georgia and active in the NPI registry since July 2013. The organization lists Wendell Larry Sims, Cfo, as its authorized official.

NPPES Registry Identity

NPI1992147573
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameDOERUN FAMILY MEDICINE CLINIC
Location Address128 WEST BROAD AVEDoerun, GA 31744
Mailing AddressPo Box 624Doerun, GA 31744-0624 · (229) 891-9131 · Fax (229) 891-9079
Phone(229) 891-9131
Fax(229) 891-9079
Organization SubpartNo
Authorized OfficialWendell Larry SimsCfo · (229) 985-3420
Enumeration DateJuly 23, 2013
Last NPPES UpdateMay 7, 2015
✔ NPI 1992147573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
128 WEST BROAD AVE, Doerun, GA 31744
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Other Identifiers 2

Other11-8911GA · Medicare Part A
Medicaid003157266AGA

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 Family Medicine Clinic's NPI number?

The NPI number for Doerun Family Medicine Clinic is 1992147573. It was assigned to this organization in the NPPES registry on July 23, 2013.

Where is Doerun Family Medicine Clinic located?

Doerun Family Medicine Clinic is located at 128 West Broad Ave, Doerun, GA 31744. The listed phone number is (229) 891-9131.

What is Doerun Family Medicine Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Doerun Family Medicine Clinic was last updated on May 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.