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

Coffee Regional Medical Center, Inc

Organization Anesthesiology Physician · NPI 1437120946

Coffee Regional Medical Center, Inc is an Anesthesiology Physician in Douglas, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1101 Ocilla Rd
Douglas, GA 31533-2207
Phone: (912) 384-1900
Fax: (912) 389-2105
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Anesthesiology Physician Taxonomy 207L00000X (GA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X (GA)

Record details

NPI number1437120946
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mindy Lott — Office Administrator · (912) 384-1900
Other names Coffee Regional Medical Center; Coffee Regional Medical Center
NPI enumeratedFebruary 1, 2006
Last updated in NPPESJuly 21, 2022
Certification dateDecember 16, 2021
Mailing addressPo Box 1287, Douglas, GA 31534-1287

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