1. Home
  2. Directory
  3. Georgia
  4. Douglas
  5. Clinic Center
  6. NPI Profile

COFFEE REGIONAL MEDICAL CENTER
NPI 1992999205
Clinic/Center in Douglas, GA

Active since August 29, 2007
1101 OCILLA RD, DOUGLAS, GA 31533(912) 384-1900(912) 389-2105 Get Directions Write a Review

NPPES record last updated: August 29, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coffee Regional Medical Center NPPES

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

COFFEE REGIONAL MEDICAL CENTER (NPI 1992999205) is a healthcare organization registered as a clinic/center in Douglas, Georgia and active in the NPI registry since August 2007. The organization lists Elaine F Lord, Medical Staff Assistant, as its authorized official.

NPPES Registry Identity

NPI1992999205
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCOFFEE REGIONAL MEDICAL CENTER
Location Address1101 OCILLA RDDouglas, GA 31533-2207
Mailing Address1101 Ocilla RdDouglas, GA 31533-2207 · (912) 384-1900 · Fax (912) 389-2105
Phone(912) 384-1900
Fax(912) 389-2105
Organization SubpartNo
Authorized OfficialElaine F LordMedical Staff Assistant · (912) 383-5623
Enumeration DateAugust 29, 2007
✔ NPI 1992999205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in GA · 03941
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1101 OCILLA RD, Douglas, GA 31533
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

NIRANDR INTHACHAK M.D.
Radiology (Diagnostic Radiology)
1101 OCILLA RD
DOUGLAS, GA 31533
Coffee County (912) 384-1900
COFFEE EMERGENCY GROUP LLC
Emergency Medicine
1101 OCILLA RD
DOUGLAS, GA 31533
Coffee County (800) 893-9698
PATRICIA ARASELY JAIMES
Nurse Practitioner (Family)
1101 OCILLA RD
DOUGLAS, GA 31533
Coffee County (912) 384-1900
SOMNUK POW-ANPONGKUL M.D.
Radiology (Diagnostic Radiology)
1101 OCILLA RD
DOUGLAS, GA 31533
Coffee County (912) 384-1900
MELISSA D CARTER NP-C
Nurse Practitioner (Family)
1101 OCILLA RD
DOUGLAS, GA 31533
Coffee County (912) 383-7826
KAREN MICHELLE GREEN PA
Physician Assistant
1101 OCILLA RD
DOUGLAS, GA 31533
Coffee County (912) 383-6966
SARAH BRICENO FAMBROUGH
Nurse Anesthetist, Certified Registered
1101 OCILLA RD
DOUGLAS, GA 31533
Coffee County (912) 384-1900
HILLARY REID NEWLAND JR. M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1101 OCILLA RD
DOUGLAS, GA 31533
Coffee County (912) 383-5604

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 Regional Medical Center's NPI number?

The NPI number for Coffee Regional Medical Center is 1992999205. It was assigned to this organization in the NPPES registry on August 29, 2007.

Where is Coffee Regional Medical Center located?

Coffee Regional Medical Center is located at 1101 Ocilla Rd, Douglas, GA 31533. The listed phone number is (912) 384-1900.

What is Coffee Regional Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Coffee Regional Medical Center was last updated on August 29, 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.