Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Coffee Family Medicine, PC

Organization Family Medicine Physician · NPI 1265456669

Coffee Family Medicine, PC is a Family Medicine Physician in Douglas, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 Doctors Dr Ste 224
Douglas, GA 31533-2201
Phone: (912) 384-2353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 53885 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 004691 (GA)

Record details

NPI number1265456669
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lydia Tanner — Physician · (912) 384-2353
NPI enumeratedJuly 27, 2006
Last updated in NPPESJanuary 19, 2012
Mailing address200 Doctors Dr, Suite 224, Douglas, GA 31533-2201

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